Ad Astra, LLC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

AD ASTRA, LLC

Doing business as

Prairie Mountain Dental
Prairie Mountain Dentistry

Practice address

736 N Last Chance Gulch
Helena, MT 59601-3319

Phone

(406) 430-1143

NPI assigned

Sep 27, 2021

Last updated

Oct 11, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Justin Hicks, DMDNPI 1134388366

Title

President

Phone

(406) 868-4549

Specialties & licenses 1

Addresses

Other names 2

• Prairie Mountain Dental Doing business as
• Prairie Mountain Dentistry Doing business as

Locations

Practitioners 1

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.

• Justin Aaron Hicks, DMD

  • General Practice Dentistry
  • Helena, MT
  • NPI 1134388366
  NPD Authorized official

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

{
    "created_epoch": "1632700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633910400000",
    "number": "1386315570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 E 6TH AVE",
            "city": "HELENA",
            "state": "MT",
            "postal_code": "596014765",
            "telephone_number": "406-868-4549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "736 N LAST CHANCE GULCH",
            "city": "HELENA",
            "state": "MT",
            "postal_code": "596013319",
            "telephone_number": "406-430-1143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AD ASTRA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-27",
        "last_updated": "2021-10-11",
        "certification_date": "2021-10-11",
        "status": "A",
        "authorized_official_last_name": "HICKS",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "406-868-4549",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Prairie Mountain Dental",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Prairie Mountain Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Dentist in Helena, MT
• Providers in Helena, MT by specialty
• Dentist in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2021; 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.