Individual provider Active NPI

Jamie Purcell Pilati, DENTAL HYGIENIST

  • Dental Hygienist
  • Bozeman, MT
National Provider Identifier
1639622707
Registry record updated Feb 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental HygienistTaxonomy code 124Q00000X
License
529 Issued in MT
Practice address
5480 Sourdough Rd
Bozeman, MT 59715-8018
Phone
(406) 570-3946
NPI assigned
Jul 26, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 16, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Hygienist 124Q00000X 529 MT Primary

Addresses

Primary practice location

5480 Sourdough Rd
Bozeman, MT 59715-8018

Mailing address

5480 Sourdough Rd
Bozeman, MT 59715-8018
Phone (406) 570-3946

Other names 1

  • Jamie Purcell Pilati Professional name

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
529MTMDNutritionist

NPI Registry JSON

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

{
    "created_epoch": "1469491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613433600000",
    "number": "1639622707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5480 SOURDOUGH RD",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597158018",
            "telephone_number": "406-570-3946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5480 SOURDOUGH RD",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597158018",
            "telephone_number": "406-570-3946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PILATI",
        "first_name": "JAMIE",
        "middle_name": "PURCELL",
        "credential": "DENTAL HYGIENIST",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-07-26",
        "last_updated": "2021-02-16",
        "certification_date": "2021-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "MT",
            "license": "529",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JAMIE",
            "last_name": "PILATI",
            "middle_name": "PURCELL",
            "credential": "RDH",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Bozeman, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 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.