Cody Forkan, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

25984 Issued in MT

Practice address

2425 Cornell Ave
Butte, MT 59701-3848

Phone

(406) 494-7919

NPI assigned

Jun 12, 2023

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Crown 7 Dental, PLLC

  • Dental Clinic/Center
  • Butte, MT
  • NPI 1255197901
  NPD Authorized official

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

{
    "created_epoch": "1686528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712016000000",
    "number": "1699459453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44 ANAVISTA RD",
            "city": "ANACONDA",
            "state": "MT",
            "postal_code": "597112056",
            "telephone_number": "406-560-6583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2425 CORNELL AVE",
            "city": "BUTTE",
            "state": "MT",
            "postal_code": "597013848",
            "telephone_number": "406-494-7919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORKAN",
        "first_name": "CODY",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-06-12",
        "last_updated": "2024-04-02",
        "certification_date": "2024-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MT",
            "license": "25984",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MT",
            "license": "25984",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Floyd, CCC-SLP
• Alicia Lynn Foley, LCSW
• Christian Foley, LAC
• Tracey Foley, RN
• Jack O Ford, MD
• William Leroy Foster Jr.
• Alexandra M Fowler
• Abbey Francisco-Allick
• Timothy Tremain Francisco, DPT
• Korena Frantzich

• Dentist in Butte, MT
• Providers in Butte, MT by specialty
• Dentist in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 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.