Big Sky Oral & Facial Surgery

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

Legal business name

BIG SKY ORAL & FACIAL SURGERY

Practice address

1125 W Kagy Blvd Ste 201
Bozeman, MT 59715-5879

Phone

(406) 585-1120

Fax

(406) 587-1988

NPI assigned

Nov 25, 2019

Last updated

Nov 25, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Christopher Ryan Wallis, DDSNPI 1497901995

Title

Owner

Phone

(406) 585-1120

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Christopher Ryan Wallis, D.D.S.

  • Oral and Maxillofacial Surgery (Dentist)
  • Bozeman, MT
  • NPI 1497901995
  NPD (past) Authorized official

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

{
    "created_epoch": "1574640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1574640000000",
    "number": "1710523725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1125 W KAGY BLVD STE 201",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597155879",
            "telephone_number": "406-585-1120",
            "fax_number": "406-587-1988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1125 W KAGY BLVD STE 201",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597155879",
            "telephone_number": "406-585-1120",
            "fax_number": "406-587-1988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIG SKY ORAL & FACIAL SURGERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-25",
        "last_updated": "2019-11-25",
        "status": "A",
        "authorized_official_last_name": "WALLIS",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "RYAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "406-585-1120",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sandra L Bierle, MS, LCPC
• Big Sky Chiropractic Clinic PC
• Big Sky Cosmetic Surgery, PC
• Big Sky Endodontics
• Big Sky Medical Associates, PLLC
• Big Sky Osteopathy, PC
• Big Sky Psychological Consortium, PLLC
• Big Sky Supportive Counseling
• Big Sky Women's Specialists
• Betsy Mae Biggerstaff, RPH PHARMD

• Oral and Maxillofacial Surgery (Dentist) in Bozeman, MT
• Providers in Bozeman, MT by specialty
• Oral and Maxillofacial Surgery (Dentist) in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2019; 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.