Active NPI
Cascade Family Dentistry PLLC
- General Practice Dentistry
- Great Falls, MT
National Provider Identifier
1437573003
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 6079
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 6079 | MT | Primary |
| Dental Assistant | 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 DirectoryNPI 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.