Glacier Valley Endodontics

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

GLACIER VALLEY ENDODONTICS

Practice address

80 Four Mile Dr Ste 15
Kalispell, MT 59901-2665

Phone

(406) 257-3647

NPI assigned

Jun 2, 2020

Last updated

Jun 2, 2020By 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

Erin MoseleyNPI 1154582401

Title

President

Phone

(406) 250-9899

Specialties & licenses 1

Addresses

Locations

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.

• Erin A Moseley, D.M.D

  • Endodontics
  • Kalispell, MT
  • NPI 1154582401
  NPD (past) Authorized official

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

{
    "created_epoch": "1591056000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591056000000",
    "number": "1750905063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 FOUR MILE DR STE 15",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599012665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 FOUR MILE DR STE 15",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599012665",
            "telephone_number": "406-257-3647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLACIER VALLEY ENDODONTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-02",
        "last_updated": "2020-06-02",
        "certification_date": "2020-06-02",
        "status": "A",
        "authorized_official_last_name": "MOSELEY",
        "authorized_official_first_name": "ERIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "406-250-9899"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Glacier Regional Pathology, LTD.
• Glacier Ridge Pharmacy Inc (Glacier Ridge Pharmacy)
• Glacier Surgical Center, LLC (Rocky Mountain Surgical Suites)
• Glacier Surgical Inc.
• Glacier Ultrasound Service LLC
• Grace Gladura, OTR/L
• Jessica Colleen Glover, F.N.P.-C.
• Mark Goerlitz-Jessen, M.D.
• Going Within Wellness LLC
• Erica Tayler Gold

• Dental Clinic/Center in Kalispell, MT
• Providers in Kalispell, MT by specialty
• Dental Clinic/Center in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2020; 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.