Active NPI
Clancy L Cone, MD
- Internal Medicine Physician
- Missoula, MT
National Provider Identifier
1366421620
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 3668
- Practice address
- 2825 Ft Missoula Rd
Missoula, MT 59804 - Phone
- (406) 721-1510
- Fax
- (406) 721-2115
- NPI assigned
- Jan 13, 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 3668 | MT | Primary |
Addresses
Primary practice location
2825 Ft Missoula Rd
Missoula, MT 59804
Mailing address
2825 Ft Missoula Rd
Missoula, MT 59804
Phone (406) 721-1510
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 16224 | Medicaid | MT |
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)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137110400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1366421620",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2825 FT MISSOULA RD",
"city": "MISSOULA",
"state": "MT",
"postal_code": "59804",
"telephone_number": "406-721-1510",
"fax_number": "406-721-2115"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2825 FT MISSOULA RD",
"city": "MISSOULA",
"state": "MT",
"postal_code": "59804",
"telephone_number": "406-721-1510",
"fax_number": "406-721-2115"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONE",
"first_name": "CLANCY",
"middle_name": "L",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-13",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MT",
"license": "3668",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "16224",
"state": "MT"
}
],
"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 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.