Active NPI
Benson Bagley
- General Practice Dentistry
- Billings, MT
National Provider Identifier
1679222541
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DEN-DEN-LIC-23664
- Practice address
- 2860 Old Hardin Rd
Billings, MT 59101-6808 - Phone
- (406) 702-1438
- NPI assigned
- Mar 19, 2022
- Last updated
- Jul 3, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DEN-DEN-LIC-23664 | MT | Primary |
Addresses
Primary practice location
2860 Old Hardin Rd
Billings, MT 59101-6808
Mailing address
2860 Old Hardin Rd
Billings, MT 59101-6808
Phone (406) 702-1438
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
| License | State | Type | Specialty |
|---|---|---|---|
| DEN-DEN-LIC-23664 | MT | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1647648000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1688342400000",
"number": "1679222541",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2860 OLD HARDIN RD",
"city": "BILLINGS",
"state": "MT",
"postal_code": "591016808",
"telephone_number": "406-702-1438"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2860 OLD HARDIN RD",
"city": "BILLINGS",
"state": "MT",
"postal_code": "591016808",
"telephone_number": "406-702-1438"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAGLEY",
"first_name": "BENSON",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-03-19",
"last_updated": "2023-07-03",
"certification_date": "2023-07-03",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "MT",
"license": "DEN-DEN-LIC-23664",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Billings, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.