Individual provider Active NPI

Michael Wayne Failing, ACLC

  • Student in an Organized Health Care Education/Training Program
  • Poplar, MT
National Provider Identifier
1407629629
Registry record updated Oct 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
License
BBH-ACLC-LIC-64561 Issued in MT
Practice address
603 1/2 Court Ave.
Poplar, MT 59255
Phone
(406) 768-3852
Fax
(406) 768-5202
NPI assigned
Oct 31, 2023
Last updated
Oct 31, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 31, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X BBH-ACLC-LIC-64561 MT Primary

Addresses

Primary practice location

603 1/2 Court Ave.
Poplar, MT 59255

Mailing address

603 1/2 Court Ave.
P.O. Box 1027
Poplar, MT 59255
Phone (406) 768-3852

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

LicenseStateTypeSpecialty
BBH-ACLC-LIC-64561MTMDStudent in an Organized Health Care Education/Training Program

NPI Registry JSON

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

{
    "created_epoch": "1698710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698710400000",
    "number": "1407629629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "603 1/2 COURT AVE.",
            "address_2": "P.O. BOX 1027",
            "city": "POPLAR",
            "state": "MT",
            "postal_code": "59255",
            "telephone_number": "406-768-3852",
            "fax_number": "406-768-5202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "603 1/2 COURT AVE.",
            "city": "POPLAR",
            "state": "MT",
            "postal_code": "59255",
            "telephone_number": "406-768-3852",
            "fax_number": "406-768-5202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAILING",
        "first_name": "MICHAEL",
        "middle_name": "WAYNE",
        "credential": "ACLC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-10-31",
        "last_updated": "2023-10-31",
        "certification_date": "2023-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "MT",
            "license": "BBH-ACLC-LIC-64561",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Poplar, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2023; 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.