NPIMap

Organization Active NPI

Rubicon Dental Associates PLLC

  • General Practice Dentistry
  • Billings, MT
National Provider Identifier
1215357397
Registry record updated Oct 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2171 Issued in MT
Legal business name
RUBICON DENTAL ASSOCIATES PLLC
Practice address
14 Avanta Way Ste 1
Billings, MT 59102-6876
Phone
(406) 655-4210
Fax
(406) 655-8100
NPI assigned
Apr 16, 2014
Organization subpart
Yes
Parent organization
RUBICON CARE NETWORKAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 10, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Jessica Ivie
Title
Billing Manager
Phone
(406) 702-1303

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 2171 MT Primary

Addresses

Primary practice location

14 Avanta Way Ste 1
Billings, MT 59102-6876

Mailing address

2639 Saint Johns Ave
Billings, MT 59102-4656
Phone (406) 702-1303

Other names 1

  • Rubicon Dental Associates, PLLC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260318003291 MT Part B Supplier - Clinic/Group Practice 8224363189 Receives reassigned benefits from 2 practitioners
Practice locations: Billings, MT

National Provider Directory

National Provider Directory
Part of
Rubicon Dental Associates PLLC

Locations

2860 Old Hardin Rd
Billings, MT 59101
Phone (406) 702-1438

918 Grand Ave
Billings, MT 59102
Phone (406) 206-1240

14 Avanta Way
Ste 1
Billings, MT 59102
Phone (406) 259-7115

10 Avanta Way
Ste 3
Billings, MT 59102
Phone (406) 655-4210

837 N Center Ave
Hardin, MT 59034
Phone (406) 629-3070

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1397606400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760054400000",
    "number": "1215357397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2639 SAINT JOHNS AVE",
            "city": "BILLINGS",
            "state": "MT",
            "postal_code": "591024656",
            "telephone_number": "406-702-1303",
            "fax_number": "406-969-4004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 AVANTA WAY STE 1",
            "city": "BILLINGS",
            "state": "MT",
            "postal_code": "591026876",
            "telephone_number": "406-655-4210",
            "fax_number": "406-655-8100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUBICON DENTAL ASSOCIATES PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "RUBICON CARE NETWORK",
        "enumeration_date": "2014-04-16",
        "last_updated": "2025-10-10",
        "certification_date": "2025-10-10",
        "status": "A",
        "authorized_official_last_name": "IVIE",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "406-702-1303"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MT",
            "license": "2171",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rubicon Dental Associates, PLLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Billings, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.