Mt SDS III, PLLC

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

Legal business name

MT SDS III, PLLC

Practice address

1256 N Meridian Rd Ste a
Kalispell, MT 59901-3006

Phone

(406) 752-1131

NPI assigned

Jan 24, 2024

Last updated

Jan 24, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Charlotte E Vial

Title

Direc of Cred and Prov Rel

Phone

(504) 638-0303

Specialties & licenses 2

Addresses

Tax ID family

Mt SDS III PLLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Mt SDS III, PLLC

  dba H2 Orthodontics

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Kalispell, MT
  • NPI 1194588400
  NPD tax ID

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Mt SDS III, PLLC

  dba H2 Orthodontics

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Kalispell, MT
  • NPI 1194588400
  NPPES parent name

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.

• Young Han, DMD, MSD

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Kalispell, MT
  • NPI 1770851537
  NPD

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

{
    "created_epoch": "1706054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706054400000",
    "number": "1669234829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1610 54TH AVE N STE 205",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372091442",
            "telephone_number": "615-678-0759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1256 N MERIDIAN RD STE A",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599013006",
            "telephone_number": "406-752-1131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MT SDS III, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-24",
        "last_updated": "2024-01-24",
        "certification_date": "2023-11-01",
        "status": "A",
        "authorized_official_last_name": "VIAL",
        "authorized_official_first_name": "CHARLOTTE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "DIREC OF CRED AND PROV REL",
        "authorized_official_telephone_number": "504-638-0303"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mountain Root Healing
• Mountain West Plastic Surgery and Medical Spa, PLLC
• Mt Connections Counseling, LLC
• Mt Imaging Centers LLC
• Mt SDS III, PLLC (H2 Orthodontics)
• Mt Wildflower Minds
• Diane Mary Mueller, NP
• Juergen J Mueller, M.D.
• Adam Muhonen
• Debbie Mulcahy, RN

• Orthodontics and Dentofacial Orthopedics Dentistry in Kalispell, MT
• Providers in Kalispell, MT by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2024; 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.