Organization Active NPI

Bitterroot Foot & Ankle Clinic PC

  • Foot & Ankle Surgery Podiatrist
  • Hamilton, MT
National Provider Identifier
1699874727
Registry record updated Mar 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
169 Issued in MT
Legal business name
BITTERROOT FOOT & ANKLE CLINIC PC
Practice address
330 N 10TH St Ste B
Hamilton, MT 59840-2318
Phone
(406) 363-4214
Fax
(406) 363-4354
NPI assigned
Sep 22, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2025

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

Authorized official

Name
Chad R. Dickemore, DPMNPI 1407867385
Title
Owner
Phone
(406) 363-4214

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X 169 MT Primary
Durable Medical Equipment & Medical Supplies 332B00000X

Addresses

Primary practice location

330 N 10TH St Ste B
Hamilton, MT 59840-2318

Mailing address

330 N 10TH St Ste B
Hamilton, MT 59840-2318
Phone (406) 363-4214

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20061012000416 MT Part B Supplier - Clinic/Group Practice 2163428244 Receives reassigned benefits from 1 practitioner
Practice locations: Hamilton, MT
O20100930005581 MT DME Supplier - Physician - PodiatryDME Supplier - Medical Supply CompanyDME Supplier - Medical Supply Company With Pedorthic Personnel 2163428244 Practice locations: Hamilton, MT

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Bitterroot Foot & Ankle Clinic PC330 N 10TH St, Hamilton, MT 59840-2318(406) 363-4214 Orthoses: Custom Fabricated|Orthoses: Prefabricated (Non-Custom Fabricated)|Orthoses: Off-The-Shelf|Diabetic Shoes and Inserts|Diabetic Shoes/Inserts - Custom Accepts assignmentParticipating since Aug 25, 2006

National Provider Directory

National Provider Directory

Locations

330 N 10th St
Ste B
Hamilton, MT 59840
Phone (406) 363-4214

299 Fairgrounds Rd
Unit 1
Hamilton, MT 59840
Phone (406) 363-4214

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741132800000",
    "number": "1699874727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 N 10TH ST STE B",
            "city": "HAMILTON",
            "state": "MT",
            "postal_code": "598402318",
            "telephone_number": "406-363-4214",
            "fax_number": "406-363-4354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 N 10TH ST STE B",
            "city": "HAMILTON",
            "state": "MT",
            "postal_code": "598402318",
            "telephone_number": "406-363-4214",
            "fax_number": "406-363-4354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BITTERROOT FOOT & ANKLE CLINIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-22",
        "last_updated": "2025-03-05",
        "certification_date": "2025-03-05",
        "status": "A",
        "authorized_official_last_name": "DICKEMORE",
        "authorized_official_first_name": "CHAD",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "406-363-4214",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "MT",
            "license": "169",
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hamilton, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.