Individual provider Active NPI

Justin Lynn Smith, M.D.

  • Family Medicine Physician
  • Helena, MT
National Provider Identifier
1760515233
Registry record updated Feb 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
10184 Issued in MT
Practice address
1930 9TH Ave
Helena, MT 59601-4759
Phone
(406) 457-0000
Fax
(406) 500-2128
NPI assigned
Mar 14, 2007
Last updated
Feb 27, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 27, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 10184 MT Primary

Addresses

Primary practice location

1930 9TH Ave
Helena, MT 59601-4759

Mailing address

1930 9TH Ave
Helena, MT 59601-4759
Phone (406) 457-0000

Other identifiers 1

IdentifierTypeStateIssuer
93874MedicaidMT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040920001220 MT Practitioner - Family Practice 2163490905 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
10184MTMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St. Peter's Health Family Medicine CurrentSince Nov 5, 2021 Accepting new patients
St. Peter's Health CurrentSince Nov 5, 2021 Accepting new patients
St Peter's Health Current Accepting new patients
Pureview Health Center Family Medicine CurrentSince Sep 23, 2019 Accepting new patients
Pureview Health Center CurrentSince Sep 23, 2019 Accepting new patients
Wheatland Memorial Healthcare Family Medicine Past Accepting new patients

Locations

1930 9th Ave
Helena, MT 59601
Phone (406) 457-8905

1930 9th Ave
Ste 207
Helena, MT 59601
Phone (406) 443-2584

2475 E Broadway St
Helena, MT 59601
Phone (406) 442-2480

Organizations & group practices 6

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": "1173830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582761600000",
    "number": "1760515233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1930 9TH AVE",
            "city": "HELENA",
            "state": "MT",
            "postal_code": "596014759",
            "telephone_number": "406-457-0000",
            "fax_number": "406-500-2128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1930 9TH AVE",
            "city": "HELENA",
            "state": "MT",
            "postal_code": "596014759",
            "telephone_number": "406-457-0000",
            "fax_number": "406-500-2128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "JUSTIN",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-14",
        "last_updated": "2020-02-27",
        "certification_date": "2020-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MT",
            "license": "10184",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "93874",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Helena, MT

Sources for this page

Verify at the official NPI Registry.