Jason A Tanguay, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2452 Issued in MT

Practice address

105 E Oak St Ste 2a
Bozeman, MT 59715-2978

Phone

(406) 586-5880

NPI assigned

Jun 3, 2010

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Jun 24, 2015 through Jun 24, 2027

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Jason Tanguay, DDS, LLC

  • General Practice Dentistry
  • Bozeman, MT
  • NPI 1164858361
  NPD (past) Authorized official
• Mint Dental LLC

  • General Practice Dentistry
  • Bozeman, MT
  • NPI 1912472390
  NPD (past)

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

{
    "created_epoch": "1275523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540252800000",
    "number": "1265752042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 E OAK ST STE 2A",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597152978",
            "telephone_number": "406-600-1939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 E OAK ST STE 2A",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597152978",
            "telephone_number": "406-586-5880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TANGUAY",
        "first_name": "JASON",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-06-03",
        "last_updated": "2018-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MT",
            "license": "2452",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Erin Tafesse, M.ED., BCBA, LBA
• Emily M Tage
• Jennifer Adella Tainter, LCPC
• Ryan M Takeshita, PT, DPT
• Darla Tande, PT
• Veronika Magali Tapia Giron, RDN
• Lindsay Booth Tarkleson, DDS
• Heather Lynn Tasker, APRN, FNP-BC
• Timothy John Tate, LCPC
• Aimee Tau, RMA

• General Practice Dentistry in Bozeman, MT
• Providers in Bozeman, MT by specialty
• General Practice Dentistry in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.