NPIMap

Organization Active NPI

Montana Interventional and Diagnostic Radiology Specialists, PLLC

  • Diagnostic Radiology Physician
  • Helena, MT
National Provider Identifier
1356397343
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
MONTANA INTERVENTIONAL AND DIAGNOSTIC RADIOLOGY SPECIALISTS, PLLC
Practice address
25 Medical Park Dr
Helena, MT 59601-4949
Phone
(406) 449-3211
Fax
(406) 442-4863
NPI assigned
May 25, 2006
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. Dennis Palmer, MDNPI 1568570372
Title
Owner
Phone
(406) 449-3211

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X Primary
Vascular & Interventional Radiology Physician 2085R0204X

Addresses

Primary practice location

25 Medical Park Dr
Helena, MT 59601-4949

Mailing address

25 Medical Park Dr
Helena, MT 59601-4949
Phone (406) 449-3211

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040525001247 MT Part B Supplier - Clinic/Group Practice 0345221503 Receives reassigned benefits from 2 practitioners
Practice locations: Helena, MT

National Provider Directory

National Provider Directory

Locations

1 Medical Park Dr
Stop 5
Helena, MT 59601
Phone (406) 457-8244

25 Medical Park Dr
Helena, MT 59601
Phone (406) 443-1556

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1148515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1356397343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 MEDICAL PARK DR",
            "city": "HELENA",
            "state": "MT",
            "postal_code": "596014949",
            "telephone_number": "406-449-3211",
            "fax_number": "406-442-4863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 MEDICAL PARK DR",
            "city": "HELENA",
            "state": "MT",
            "postal_code": "596014949",
            "telephone_number": "406-449-3211",
            "fax_number": "406-442-4863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONTANA INTERVENTIONAL AND DIAGNOSTIC RADIOLOGY SPECIALISTS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-25",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "PALMER",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "406-449-3211",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.