Active NPI
Jacob McHenry, LD
- Denturist
- Belgrade, MT
National Provider Identifier
1316784606
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Denturist
- License
- 28460
- Practice address
- 8707 Jackrabbit LN Ste C
Belgrade, MT 59714-8994 - Phone
- (406) 813-8551
- Fax
- (406) 813-8519
- NPI assigned
- Jul 12, 2024
- 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 | 28460 | MT | Primary |
Addresses
Primary practice location
8707 Jackrabbit LN Ste C
Belgrade, MT 59714-8994
Mailing address
8707 Jackrabbit LN Ste C
Belgrade, MT 59714-8994
Phone (406) 813-8551
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 |
|---|---|---|---|
| 28460 | MT | MD | Denturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1720742400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1720742400000",
"number": "1316784606",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8707 JACKRABBIT LN STE C",
"city": "BELGRADE",
"state": "MT",
"postal_code": "597148994",
"telephone_number": "406-813-8551",
"fax_number": "406-813-8519"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8707 JACKRABBIT LN STE C",
"city": "BELGRADE",
"state": "MT",
"postal_code": "597148994",
"telephone_number": "406-813-8551",
"fax_number": "406-813-8519"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCHENRY",
"first_name": "JACOB",
"credential": "LD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-07-12",
"last_updated": "2024-07-12",
"certification_date": "2024-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "122400000X",
"taxonomy_group": "",
"desc": "Denturist",
"state": "MT",
"license": "28460",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Belgrade, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.