NPIMap

Organization Active NPI

Healthy Smiles Mobile Dental Hygiene Inc

  • Dental Hygienist
  • Bozeman, MT
National Provider Identifier
1417467911
Registry record updated Oct 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental HygienistTaxonomy code 124Q00000X
License
MT-1008 Issued in MT
Legal business name
HEALTHY SMILES MOBILE DENTAL HYGIENE INC
Practice address
105 Grey Wolf TRL
Bozeman, MT 59718-7677
Phone
(406) 581-5293
Fax
(406) 581-5293
NPI assigned
Oct 10, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2017

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

Authorized official

Name
Crystal Spring, RDH
Title
President
Phone
(406) 581-5293

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental HygienistGroup: 193400000X SINGLE SPECIALTY GROUP 124Q00000X MT-1008 MT Primary

Addresses

Primary practice location

105 Grey Wolf TRL
Bozeman, MT 59718-7677

Mailing address

105 Grey Wolf TRL
Bozeman, MT 59718-7677
Phone (406) 581-5293

Other identifiers 1

IdentifierTypeStateIssuer
1972913176MedicaidMT

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1507593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1507593600000",
    "number": "1417467911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 GREY WOLF TRL",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597187677",
            "telephone_number": "406-581-5293",
            "fax_number": "406-763-4637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 GREY WOLF TRL",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597187677",
            "telephone_number": "406-581-5293",
            "fax_number": "406-581-5293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHY SMILES MOBILE DENTAL HYGIENE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-10",
        "last_updated": "2017-10-10",
        "status": "A",
        "authorized_official_last_name": "SPRING",
        "authorized_official_first_name": "CRYSTAL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "406-581-5293",
        "authorized_official_credential": "RDH"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dental Hygienist",
            "state": "MT",
            "license": "MT-1008",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1972913176",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bozeman, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2017; 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.