Active NPI
Alexander Tubbs Olmstead
- Denturist
- Havre, MT
National Provider Identifier
1760059265
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Denturist
- Practice address
- 220 3Rd Ave Ste 204
Havre, MT 59501-3554 - Phone
- (406) 262-7722
- NPI assigned
- Jun 4, 2021
- Last updated
- Jun 4, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Denturist | 122400000X | Primary |
Addresses
Primary practice location
220 3Rd Ave Ste 204
Havre, MT 59501-3554
Mailing address
302 20TH St
Havre, MT 59501-5233
Phone (385) 319-6131
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Havre Denture LLC | Denturist | Current | Accepting new patients |
Locations
220 3rd Ave
Ste 204
Havre, MT 59501
Phone (406) 262-7722
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1622764800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1622764800000",
"number": "1760059265",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "302 20TH ST",
"city": "HAVRE",
"state": "MT",
"postal_code": "595015233",
"telephone_number": "385-319-6131"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "220 3RD AVE STE 204",
"city": "HAVRE",
"state": "MT",
"postal_code": "595013554",
"telephone_number": "406-262-7722"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLMSTEAD",
"first_name": "ALEXANDER",
"middle_name": "TUBBS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-06-04",
"last_updated": "2021-06-04",
"certification_date": "2021-06-04",
"status": "A"
},
"taxonomies": [
{
"code": "122400000X",
"taxonomy_group": "",
"desc": "Denturist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Havre, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.