Zachariah Deming – Massage Therapist in Eureka, MT

Key facts

NPI: 1689446387
Entity type: Individual (NPI type 1)
Primary specialty: Massage Therapist 225700000X
License: 29182 (MT)
Practice address: 355 US Highway 93 N Ste C
Eureka, MT 59917-9059
Phone: (720) 204-0828
NPI assigned: Oct 25, 2023
Sex: Male
Sole proprietor: Yes

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): No

State licenses

License	State	Type	Specialty
29182	MT	MD	Massage Therapist

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Massage Therapist Group: 193400000X SINGLE SPECIALTY GROUP	225700000X	29182	MT	Yes

Addresses

Primary practice location

355 US Highway 93 N Ste C
Eureka, MT 59917-9059

Mailing address

355 US Highway 93 N Ste C
Eureka, MT 59917-9059
Phone (720) 204-0828

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Oct 25, 2023.

{
    "created_epoch": "1698192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698192000000",
    "number": "1689446387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "355 US HIGHWAY 93 N STE C",
            "city": "EUREKA",
            "state": "MT",
            "postal_code": "599179059",
            "telephone_number": "720-204-0828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "355 US HIGHWAY 93 N STE C",
            "city": "EUREKA",
            "state": "MT",
            "postal_code": "599179059",
            "telephone_number": "720-204-0828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEMING",
        "first_name": "ZACHARIAH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-10-25",
        "last_updated": "2023-10-25",
        "certification_date": "2023-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": "MT",
            "license": "29182",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eureka, MT

All providers in Eureka, MT · Massage Therapist in Montana

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 25, 2023. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.