Active NPI
Into the Groove
- Dental Hygienist
- Butte, MT
National Provider Identifier
1487299855
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- Legal business name
- INTO THE GROOVE
- Practice address
- 4925 Foothill Rd
Butte, MT 59701-7047 - Phone
- (406) 490-7392
- NPI assigned
- Nov 8, 2019
- 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
- Stacy Lynn Wilcox, RDH, LAP
- Title
- RDH/Owner
- Phone
- (406) 490-7392
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | Primary |
Addresses
Primary practice location
4925 Foothill Rd
Butte, MT 59701-7047
Mailing address
4925 Foothill Rd
Butte, MT 59701-7047
Phone (406) 490-7392
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1573171200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1573171200000",
"number": "1487299855",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4925 FOOTHILL RD",
"city": "BUTTE",
"state": "MT",
"postal_code": "597017047",
"telephone_number": "406-490-7392"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4925 FOOTHILL RD",
"city": "BUTTE",
"state": "MT",
"postal_code": "597017047",
"telephone_number": "406-490-7392"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "INTO THE GROOVE",
"organizational_subpart": "NO",
"enumeration_date": "2019-11-08",
"last_updated": "2019-11-08",
"status": "A",
"authorized_official_last_name": "WILCOX",
"authorized_official_first_name": "STACY",
"authorized_official_middle_name": "LYNN",
"authorized_official_title_or_position": "RDH/OWNER",
"authorized_official_telephone_number": "406-490-7392",
"authorized_official_credential": "RDH, LAP"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dental Hygienist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Butte, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.