Individual provider Active NPI

Aaron Stensvad, DMD

  • Dentist
  • Forsyth, MT
National Provider Identifier
1346235306
Registry record updated May 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
17294 Issued in MT
Practice address
1617 Main St
Forsyth, MT 59327-5030
Phone
(406) 346-2131
NPI assigned
Sep 15, 2005
Last updated
May 6, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 6, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X D8114 OR
Dentist 122300000X 17294 MT Primary

Addresses

Primary practice location

1617 Main St
Forsyth, MT 59327-5030

Mailing address

PO Box 5030
Forsyth, MT 59327-5030
Phone (406) 346-2131

Other practice location 1

1006 NE 2nd Ave
Portland, OR 97232-2021
Phone (503) 233-4871

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
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
I20180507001027 OR Order and Referring Only - DentistPractitioner - Dentist 0840554499

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
17294MTMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1126742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557100800000",
    "number": "1346235306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5030",
            "city": "FORSYTH",
            "state": "MT",
            "postal_code": "593275030",
            "telephone_number": "406-346-2131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1617 MAIN ST",
            "city": "FORSYTH",
            "state": "MT",
            "postal_code": "593275030",
            "telephone_number": "406-346-2131"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1006 NE 2nd Ave",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972322021",
            "country_code": "US",
            "telephone_number": "503-233-4871",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STENSVAD",
        "first_name": "AARON",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-15",
        "last_updated": "2019-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OR",
            "license": "D8114",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MT",
            "license": "17294",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Forsyth, MT

Sources for this page

Verify at the official NPI Registry.