NPIMap

Organization Active NPI

Yellowstone Family Dental

  • General Practice Dentistry
  • Billings, MT
National Provider Identifier
1437434123
Registry record updated Dec 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2111 Issued in MT
Legal business name
YELLOWSTONE FAMILY DENTAL
Practice address
1045 N 27TH St
Billings, MT 59101-0711
Phone
(406) 245-7026
Fax
(406) 238-0141
NPI assigned
Oct 13, 2011
Last updated
Dec 29, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2020

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

Authorized official

Name
Dr. Matthew Larsen, DMD
Title
Dentist
Phone
(406) 245-7026

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 2111 MT Primary

Addresses

Primary practice location

1045 N 27TH St
Billings, MT 59101-0711

Mailing address

1045 N 27TH St
Billings, MT 59101-0711
Phone (406) 245-7026

National Provider Directory

National Provider Directory

Locations

1045 N 27th St
Billings, MT 59101
Phone (406) 245-7026

1690 Rimrock Rd
Ste F
Billings, MT 59102
Phone (406) 245-7026

Practitioners & affiliated clinicians

Practitioners 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1318464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1609200000000",
    "number": "1437434123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1045 N 27TH ST",
            "city": "BILLINGS",
            "state": "MT",
            "postal_code": "591010711",
            "telephone_number": "406-245-7026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1045 N 27TH ST",
            "city": "BILLINGS",
            "state": "MT",
            "postal_code": "591010711",
            "telephone_number": "406-245-7026",
            "fax_number": "406-238-0141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YELLOWSTONE FAMILY DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-13",
        "last_updated": "2020-12-29",
        "certification_date": "2020-12-29",
        "status": "A",
        "authorized_official_last_name": "LARSEN",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "406-245-7026",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MT",
            "license": "2111",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Billings, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2020; 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.