NPIMap

Organization Active NPI

Smile Montana Urgent Dental Center

Doing business as Columbia Falls Family Dental Center

  • Public Health Dentistry
  • Kalispell, MT
National Provider Identifier
1619413184
Registry record updated Jan 9, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health DentistryTaxonomy code 1223D0001X
License
2463 Issued in MT
Legal business name
SMILE MONTANA URGENT DENTAL CENTER
Doing business as
Columbia Falls Family Dental Center
Practice address
115 Commons Way Ste 102
Kalispell, MT 59901-1906
Phone
(406) 892-2104
Fax
(406) 892-1422
NPI assigned
Jan 9, 2017
Last updated
Jan 9, 2017By the provider in NPPES
Organization subpart
Yes
Parent organization
COLUMBIA FALLS FAMILY DENTAL CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 9, 2017

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

Authorized official

Name
Dr. John F Miller, D.D.S.NPI 1265720346
Title
Owner
Phone
(406) 892-2104

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health Dentistry 1223D0001X 2463 MT Primary

Addresses

Primary practice location

115 Commons Way Ste 102
Kalispell, MT 59901-1906

Mailing address

115 Commons Way Ste 102
Kalispell, MT 59901-1906
Phone (406) 892-2104

Other names 1

  • Columbia Falls Family Dental Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Smile Montana Urgent Dental Center3 organizations share this tax ID, including this one
Part of
Smile Montana Urgent Dental Center

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

115 Commons Way
Ste 102
Kalispell, MT 59901
Phone (406) 314-6353

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1483920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1483920000000",
    "number": "1619413184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 COMMONS WAY STE 102",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599011906",
            "telephone_number": "406-892-2104",
            "fax_number": "406-892-1422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 COMMONS WAY STE 102",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599011906",
            "telephone_number": "406-892-2104",
            "fax_number": "406-892-1422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILE MONTANA URGENT DENTAL CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COLUMBIA FALLS FAMILY DENTAL CENTER",
        "enumeration_date": "2017-01-09",
        "last_updated": "2017-01-09",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "406-892-2104",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223D0001X",
            "taxonomy_group": "",
            "desc": "Dentist, Dental Public Health",
            "state": "MT",
            "license": "2463",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Columbia Falls Family Dental Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kalispell, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2017; 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.