Individual provider Active NPI

Henry Rodney Michael Jr., D.M.D.

  • General Practice Dentistry
  • Billings, MT
National Provider Identifier
1265550834
Registry record updated May 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
1526 Issued in MT
Practice address
1690 Rimrock Rd
Suite D
Billings, MT 59102-0700
Phone
(406) 259-7115
NPI assigned
Mar 26, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 12, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 1526 MT Primary

Addresses

Primary practice location

1690 Rimrock Rd
Suite D
Billings, MT 59102-0700

Mailing address

1690 Rimrock Rd
Suite D
Billings, MT 59102-0700
Phone (406) 259-7115

Other identifiers 1

IdentifierTypeStateIssuer
11-1501MedicaidMT

Other names 1

  • H Rod Michael Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150528001672 MT Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 5294055596

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1526MTMDHearing Instrument Specialist

NPI Registry JSON

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1431388800000",
    "number": "1265550834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1690 RIMROCK RD",
            "address_2": "SUITE D",
            "city": "BILLINGS",
            "state": "MT",
            "postal_code": "591020700",
            "telephone_number": "406-259-7115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1690 RIMROCK RD",
            "address_2": "SUITE D",
            "city": "BILLINGS",
            "state": "MT",
            "postal_code": "591020700",
            "telephone_number": "406-259-7115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MICHAEL",
        "first_name": "HENRY",
        "middle_name": "RODNEY",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-26",
        "last_updated": "2015-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MT",
            "license": "1526",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "11-1501",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "H",
            "last_name": "MICHAEL",
            "middle_name": "ROD",
            "credential": "D.M.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Billings, MT

Sources for this page

Verify at the official NPI Registry.