Individual provider Active NPI

Randy Allen McHenry, LD

  • Denturist
  • Belgrade, MT
National Provider Identifier
1588326235
Registry record updated Oct 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
DenturistTaxonomy code 122400000X
License
21586 Issued in MT
Practice address
8707 Jackrabbit LN Ste C
Belgrade, MT 59714-8995
Phone
(406) 813-8551
NPI assigned
Oct 11, 2021
Last updated
Oct 11, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Denturist 122400000X 21586 MT Primary

Addresses

Primary practice location

8707 Jackrabbit LN Ste C
Belgrade, MT 59714-8995

Mailing address

8707 Jackrabbit LN Ste C
Belgrade, MT 59714-8995
Phone (406) 813-8551

Other practice location 1

2149 Durston Rd Ste 32
Bozeman, MT 59718-2805
Phone (406) 813-8551

Other practice location 2

800 W Platinum St Ste 3
Butte, MT 59701-2237
Phone (406) 299-2191

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
21586MTMDDenturist

Practice roles

OrganizationSpecialtyStatusNew patients
Bozeman Denture Center, PLLC Denturist PastSince Jul 2, 2023 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1633910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633910400000",
    "number": "1588326235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8707 JACKRABBIT LN STE C",
            "city": "BELGRADE",
            "state": "MT",
            "postal_code": "597148995",
            "telephone_number": "406-813-8551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8707 JACKRABBIT LN STE C",
            "city": "BELGRADE",
            "state": "MT",
            "postal_code": "597148995",
            "telephone_number": "406-813-8551"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2149 Durston Rd Ste 32",
            "address_purpose": "LOCATION",
            "city": "Bozeman",
            "state": "MT",
            "postal_code": "597182805",
            "country_code": "US",
            "telephone_number": "406-813-8551",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "800 W Platinum St Ste 3",
            "address_purpose": "LOCATION",
            "city": "Butte",
            "state": "MT",
            "postal_code": "597012237",
            "country_code": "US",
            "telephone_number": "406-299-2191",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCHENRY",
        "first_name": "RANDY",
        "middle_name": "ALLEN",
        "credential": "LD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-10-11",
        "last_updated": "2021-10-11",
        "certification_date": "2021-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122400000X",
            "taxonomy_group": "",
            "desc": "Denturist",
            "state": "MT",
            "license": "21586",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Belgrade, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2021; 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.