Organization Active NPI

Cascade Family Dentistry PLLC

  • General Practice Dentistry
  • Great Falls, MT
National Provider Identifier
1437573003
Registry record updated Jul 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
6079 Issued in MT
Legal business name
CASCADE FAMILY DENTISTRY PLLC
Practice address
2507 6TH Ave S
Great Falls, MT 59405-3013
Phone
(406) 315-8004
Fax
(406) 315-8003
NPI assigned
Feb 18, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2014

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

Authorized official

Name
Dr. Leighton Roger Holley III, DDS
Title
Manager
Phone
(406) 315-8004

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 6079 MT Primary
Dental AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 126800000X

Addresses

Primary practice location

2507 6TH Ave S
Great Falls, MT 59405-3013

Mailing address

PO Box 36
Sun River, MT 59483-0036
Phone (406) 315-8004

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1392681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404259200000",
    "number": "1437573003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 36",
            "city": "SUN RIVER",
            "state": "MT",
            "postal_code": "594830036",
            "telephone_number": "406-315-8004",
            "fax_number": "406-315-8003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2507 6TH AVE S",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "594053013",
            "telephone_number": "406-315-8004",
            "fax_number": "406-315-8003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASCADE FAMILY DENTISTRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-18",
        "last_updated": "2014-07-02",
        "status": "A",
        "authorized_official_last_name": "HOLLEY",
        "authorized_official_first_name": "LEIGHTON",
        "authorized_official_middle_name": "ROGER",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "406-315-8004",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "MT",
            "license": "6079",
            "primary": true
        },
        {
            "code": "126800000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dental Assistant",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Great Falls, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2014; 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.