NPIMap

Organization Active NPI

West Yellowstone Dental

  • Clinic/Center
  • West Yellowstone, MT
National Provider Identifier
1417393752
Registry record updated Jan 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
WEST YELLOWSTONE DENTAL
Practice address
317 North Canyon St
West Yellowstone, MT 59758-9503
Phone
(406) 646-7766
Fax
(406) 646-1066
NPI assigned
May 14, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2025

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

Authorized official

Name
Dr. Ryan Douglas Smith, DMD
Title
Owner/Dentist
Phone
(406) 646-7766

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

317 North Canyon St
West Yellowstone, MT 59758-9503

Mailing address

PO Box 1966
317 North Canyon St.
West Yellowstone, MT 59758-1966
Phone (406) 646-7766

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1368489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736985600000",
    "number": "1417393752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1966",
            "address_2": "317 NORTH CANYON ST.",
            "city": "WEST YELLOWSTONE",
            "state": "MT",
            "postal_code": "597581966",
            "telephone_number": "406-646-7766",
            "fax_number": "406-646-1066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "317 NORTH CANYON ST",
            "city": "WEST YELLOWSTONE",
            "state": "MT",
            "postal_code": "597589503",
            "telephone_number": "406-646-7766",
            "fax_number": "406-646-1066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST YELLOWSTONE DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-14",
        "last_updated": "2025-01-16",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "RYAN",
        "authorized_official_middle_name": "DOUGLAS",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "406-646-7766",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Yellowstone, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2025; 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.