Timothy H. Bagnell, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

1951 Issued in MT

Practice address

15276 Belker Lane
Frenchtown, MT 59834

Phone

(406) 626-5520

Fax

(406) 626-5468

NPI assigned

Aug 25, 2006

Last updated

Jul 17, 2023By the provider in NPPES

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 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Jewel Basin Dentistry

  • Dentist
  • Bigfork, MT
  • NPI 1821697921
  NPD Authorized official
• Bagnell Dental Clinic, P.C.

  • General Practice Dentistry
  • Frenchtown, MT
  • NPI 1538563564
  NPD (past) Authorized official

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

{
    "created_epoch": "1156464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689552000000",
    "number": "1508973355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 439",
            "city": "FRENCHTOWN",
            "state": "MT",
            "postal_code": "59834",
            "telephone_number": "406-626-5520",
            "fax_number": "406-626-5468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15276 BELKER LANE",
            "city": "FRENCHTOWN",
            "state": "MT",
            "postal_code": "59834",
            "telephone_number": "406-626-5520",
            "fax_number": "406-626-5468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAGNELL",
        "first_name": "TIMOTHY",
        "middle_name": "H.",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-25",
        "last_updated": "2023-07-17",
        "certification_date": "2023-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MT",
            "license": "1951",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA COMPANIE",
            "identifier": "696698",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHIP",
            "identifier": "5511196",
            "state": "MT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0111537",
            "state": "MT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "19514",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Apollo Rehab PLLC
• Sharon Lynn Ashley, LMT
• Bagnell Dental Clinic, P.C.
• Constance Ann Bauer, OTR/L
• Kevin James Campbell, LMT, BCTMB
• Cedar Grove Counseling LLC
• Samuel Leo Cotnoir, DPT
• Casey Ebelt

• Dentist in Frenchtown, MT
• Providers in Frenchtown, MT by specialty
• Dentist in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2023; 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.