Andrew Timothy Ordelheide, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

2461 Issued in MT

Practice address

200 W Railroad Ave
Plains, MT 59859

Phone

(406) 215-4705

Fax

(406) 258-0612

NPI assigned

Aug 6, 2008

Last updated

Apr 22, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Ordelheide Dental Inc

  • Dentist
  • Plains, MT
  • NPI 1326424524
  Authorized official Same address or phone
• Mt West Dentist PLLC

  • General Practice Dentistry
  • Plains, MT
  • NPI 1407424179
  NPD

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

{
    "created_epoch": "1217980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587513600000",
    "number": "1760648091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 837",
            "city": "PLAINS",
            "state": "MT",
            "postal_code": "598590837",
            "telephone_number": "406-826-3611",
            "fax_number": "406-826-3613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 W RAILROAD AVE",
            "city": "PLAINS",
            "state": "MT",
            "postal_code": "59859",
            "telephone_number": "406-215-4705",
            "fax_number": "406-258-0612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORDELHEIDE",
        "first_name": "ANDREW",
        "middle_name": "TIMOTHY",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-08-06",
        "last_updated": "2020-04-22",
        "certification_date": "2020-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "HI",
            "license": "2416",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MT",
            "license": "2461",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "57234",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "57234",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE DENTAL BOARD OF HAWAII",
            "identifier": "2416",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MONTANA STATE BOARD OF DENTISTRY",
            "identifier": "2461",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cory J Nelson
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• New Horizons Counseling, L.L.C.
• Gwenna Carie Olson, CRNA, RN
• Ordelheide Dental Inc
• Elizabeth Fay Ordelheide, DDS
• Plains Chiropractic PC
• Plains Community Ambulance Inc (Plains Community Ambulance)
• Plains Drug Inc (Plains Drug)
• Plains Hospital Corporation (Clark Fork Valley Nursing Home)

• Dentist in Plains, MT
• Providers in Plains, MT by specialty
• Dentist in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 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.