Active NPI
Remi Armand Berube, LD
- Denturist
- Missoula, MT
National Provider Identifier
1285799353
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Denturist
- License
- 24
- Practice address
- 2100 Stephens Ave
Suite 104
Missoula, MT 59801-6659 - Phone
- (406) 829-8900
- Fax
- (406) 829-8909
- NPI assigned
- Dec 27, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Denturist | 122400000X | 24 | MT | Primary |
Addresses
Primary practice location
2100 Stephens Ave
Suite 104
Missoula, MT 59801-6659
Mailing address
2100 Stephens Ave
Suite 104
Missoula, MT 59801-6659
Phone (406) 829-8900
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 |
|---|---|---|---|
| 24 | MT | MD | Denturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Big Sky Denture Group | Denturist | 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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167177600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1285799353",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2100 STEPHENS AVE",
"address_2": "SUITE 104",
"city": "MISSOULA",
"state": "MT",
"postal_code": "598016659",
"telephone_number": "406-829-8900",
"fax_number": "406-829-8909"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2100 STEPHENS AVE",
"address_2": "SUITE 104",
"city": "MISSOULA",
"state": "MT",
"postal_code": "598016659",
"telephone_number": "406-829-8900",
"fax_number": "406-829-8909"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERUBE",
"first_name": "REMI",
"middle_name": "ARMAND",
"credential": "LD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-27",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122400000X",
"taxonomy_group": "",
"desc": "Denturist",
"state": "MT",
"license": "24",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Missoula, 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.