Individual provider Active NPI

Robert John Jose, DMD, FAGD, PC

  • General Practice Dentistry
  • Helena, MT
National Provider Identifier
1306862099
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
1914 Issued in MT
Practice address
1010 Partridge PL
Helena, MT 59602-0516
Phone
(406) 449-7813
Fax
(406) 495-6092
NPI assigned
Jul 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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 1914 MT Primary

Addresses

Primary practice location

1010 Partridge PL
Helena, MT 59602-0516

Mailing address

1010 Partridge PL
Helena, MT 59602-0516
Phone (406) 449-7813

Other identifiers 1

IdentifierTypeStateIssuer
0112999MedicaidMT

Other names 1

  • Dr. Robert John Jose Professional name

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

LicenseStateTypeSpecialty
1914MTMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1306862099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 PARTRIDGE PL",
            "city": "HELENA",
            "state": "MT",
            "postal_code": "596020516",
            "telephone_number": "406-449-7813",
            "fax_number": "406-495-6092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 PARTRIDGE PL",
            "city": "HELENA",
            "state": "MT",
            "postal_code": "596020516",
            "telephone_number": "406-449-7813",
            "fax_number": "406-495-6092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOSE",
        "first_name": "ROBERT",
        "middle_name": "JOHN",
        "credential": "DMD, FAGD, PC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-14",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MT",
            "license": "1914",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0112999",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ROBERT",
            "last_name": "JOSE",
            "middle_name": "JOHN",
            "prefix": "DR.",
            "credential": "DMD, FAGD, PC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Helena, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.

Verify at the official NPI Registry.