Individual provider Active NPI

Thomas King Budde, DDS

  • General Practice Dentistry
  • Billings, MT
National Provider Identifier
1740337047
Registry record updated Feb 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
1379 Issued in MT
Practice address
1838 Poly Dr
Billings, MT 59102-1731
Phone
(406) 690-5941
NPI assigned
Jan 5, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 18, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 1379 MT Primary

Addresses

Primary practice location

1838 Poly Dr
Billings, MT 59102-1731

Mailing address

1838 Poly Dr
Billings, MT 59102-1731
Phone (406) 690-5941

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121004000131 TX Order and Referring Only - DentistPractitioner - Dentist 1850540097

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1379MTMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1167955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361145600000",
    "number": "1740337047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1838 POLY DR",
            "city": "BILLINGS",
            "state": "MT",
            "postal_code": "591021731",
            "telephone_number": "406-690-5941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1838 POLY DR",
            "city": "BILLINGS",
            "state": "MT",
            "postal_code": "591021731",
            "telephone_number": "406-690-5941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUDDE",
        "first_name": "THOMAS",
        "middle_name": "KING",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-05",
        "last_updated": "2013-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MT",
            "license": "1379",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Billings, MT

Sources for this page

Verify at the official NPI Registry.