Active NPI
Lance C Brimhall I, D.D.S.
- General Practice Dentistry
- Great Falls, MT
National Provider Identifier
1194862789
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 1816
- Practice address
- 121 4TH St N Ste 2D
Great Falls, MT 59401-2552 - Phone
- (406) 453-6467
- NPI assigned
- Jan 31, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 1816 | MT | Primary |
Addresses
Primary practice location
121 4TH St N Ste 2D
Great Falls, MT 59401-2552
Mailing address
121 4TH Street North Ste. 2D
Great Falls, MT 59401-2552
Phone (406) 453-6467
Other names 1
- Dr. Lance C Brimhall
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1816 | MT | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Famlee Dentist PLLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Dentist
- Great Falls, MT
- NPI 1366306664
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170201600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1194862789",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "121 4TH STREET NORTH STE. 2D",
"city": "GREAT FALLS",
"state": "MT",
"postal_code": "594012552",
"telephone_number": "406-453-6467"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "121 4TH ST N STE 2D",
"city": "GREAT FALLS",
"state": "MT",
"postal_code": "594012552",
"telephone_number": "406-453-6467"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRIMHALL",
"first_name": "LANCE",
"middle_name": "C",
"name_prefix": "Dr.",
"name_suffix": "I",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-31",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "MT",
"license": "1816",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LANCE",
"last_name": "BRIMHALL",
"middle_name": "C",
"prefix": "DR.",
"credential": "D.D.S.",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Great Falls, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.