NPIMap

Organization Active NPI

Mt Specialty Dental Services, PLLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Billings, MT
National Provider Identifier
1699307728
Registry record updated Apr 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
Legal business name
MT SPECIALTY DENTAL SERVICES, PLLC
Practice address
152 S 32ND St W
Billings, MT 59102-6875
Phone
(406) 245-4414
NPI assigned
Feb 6, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2024

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

Authorized official

Name
Charlotte V Dasch
Title
Director of Credentialing and PR
Phone
(504) 638-0303

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223X0400X Primary

Addresses

Primary practice location

152 S 32ND St W
Billings, MT 59102-6875

Mailing address

152 S 32ND St W
Billings, MT 59102-6875
Phone (406) 245-4414

Other practice location 1

711 W Wicks Ln
Billings, MT 59105-3585
Phone (406) 245-4414

Other names 1

  • Bennion and Lambourne Orthodontics Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL montana Direct

National Provider Directory

National Provider Directory
Tax ID family
Mt Specialty Dental Services PLLC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Ownership & related parties

Subparts reporting this organization as parent 3

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

NPI Registry JSON

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

{
    "created_epoch": "1580947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713398400000",
    "number": "1699307728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "152 S 32ND ST W",
            "city": "BILLINGS",
            "state": "MT",
            "postal_code": "591026875",
            "telephone_number": "406-245-4414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "152 S 32ND ST W",
            "city": "BILLINGS",
            "state": "MT",
            "postal_code": "591026875",
            "telephone_number": "406-245-4414"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "711 W Wicks Ln",
            "address_purpose": "LOCATION",
            "city": "Billings",
            "state": "MT",
            "postal_code": "591053585",
            "country_code": "US",
            "telephone_number": "406-245-4414",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MT SPECIALTY DENTAL SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-06",
        "last_updated": "2024-04-18",
        "certification_date": "2024-04-18",
        "status": "A",
        "authorized_official_last_name": "DASCH",
        "authorized_official_first_name": "CHARLOTTE",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "DIRECTOR OF CREDENTIALING AND PR",
        "authorized_official_telephone_number": "504-638-0303"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "montana",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "152 S 32nd St W",
            "city": "Billings",
            "state": "MT",
            "country_code": "US",
            "postal_code": "591026875",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Bennion and Lambourne Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Apr 18, 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.