Montana Plastic Surgery Center

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

7778 Issued in MT

Legal business name

MONTANA PLASTIC SURGERY CENTER

Practice address

1600 9TH St S
Great Falls, MT 59405-4510

Phone

(406) 727-6363

Fax

(406) 727-6372

NPI assigned

Jun 25, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Antonio Santin, MD

Title

President

Phone

(406) 727-6363

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1182729600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203638400000",
    "number": "1659577898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 9TH ST S",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "594054510",
            "telephone_number": "406-727-6363",
            "fax_number": "406-727-6372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 9TH ST S",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "594054510",
            "telephone_number": "406-727-6363",
            "fax_number": "406-727-6372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONTANA PLASTIC SURGERY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-25",
        "last_updated": "2008-02-22",
        "status": "A",
        "authorized_official_last_name": "SANTIN",
        "authorized_official_first_name": "ANTONIO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "406-727-6363",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Otolaryngology",
            "state": "MT",
            "license": "7778",
            "primary": false
        },
        {
            "code": "208200000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Plastic Surgery",
            "state": "MT",
            "license": "7778",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2008; 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.