Individual provider Active NPI

James Richard Hicks, DDS

  • General Practice Dentistry
  • Helena, MT
National Provider Identifier
1770675332
Registry record updated Jul 31, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2097 Issued in MT
Practice address
1300 N Montana Ave
Helena, MT 59601-3507
Phone
(406) 449-1300
Fax
(406) 449-1331
NPI assigned
Sep 29, 2006
Last updated
Jul 31, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2007

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 2097 MT Primary

Addresses

Primary practice location

1300 N Montana Ave
Helena, MT 59601-3507

Mailing address

PO Box 836
Helena, MT 59624-0836
Phone (406) 449-1300

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160128002053 MT Order and Referring Only - DentistPractitioner - Dentist 6608179403

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2097MTMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Queen City Dental Studio PastSince Dec 9, 2019 Accepting new patients
Queen City Dental Studio, PLLC PastSince Feb 8, 2023 Accepting new patients

Organizations & group practices 2

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": "1159488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1185840000000",
    "number": "1770675332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 836",
            "city": "HELENA",
            "state": "MT",
            "postal_code": "596240836",
            "telephone_number": "406-449-1300",
            "fax_number": "406-449-1331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 N MONTANA AVE",
            "city": "HELENA",
            "state": "MT",
            "postal_code": "596013507",
            "telephone_number": "406-449-1300",
            "fax_number": "406-449-1331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HICKS",
        "first_name": "JAMES",
        "middle_name": "RICHARD",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-29",
        "last_updated": "2007-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MT",
            "license": "2097",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Helena, MT

Sources for this page

Verify at the official NPI Registry.