Robert Andrew Jestrab, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

1784 Issued in MT

Practice address

424 3Rd St
Havre, MT 59501

Phone

(406) 265-7886

NPI assigned

Feb 13, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Cast & Crown Dental PLLC

  • General Practice Dentistry
  • Havre, MT
  • NPI 1023946472
  NPD (past)
• Havre Dental Group Inc

  • General Practice Dentistry
  • Havre, MT
  • NPI 1356114318
  NPD (past)

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1508908443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "424 3RD ST",
            "city": "HAVRE",
            "state": "MT",
            "postal_code": "59501",
            "telephone_number": "406-265-7886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "424 3RD ST",
            "city": "HAVRE",
            "state": "MT",
            "postal_code": "59501",
            "telephone_number": "406-265-7886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JESTRAB",
        "first_name": "ROBERT",
        "middle_name": "ANDREW",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MT",
            "license": "1784",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0112658",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hummingbird Mental Health Services
• Stephanie A Huse, LCPC
• Mark S Jamieson, PA
• Lawrence G Jarvis, PH.D.
• Benjamin F. Jennings, LCPC, LMFT, LAC
• Abrianna Johnson, APRN
• Aneta Jones
• James N Kelley, MD
• Ronald Wayne Kling, M.ED., PCLC
• David Allen Klobofski, RPH

• All providers in Havre, MT
• Dentist in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.