NPIMap

Organization Active NPI

Madison Dental PC

  • General Practice Dentistry
  • Ennis, MT
National Provider Identifier
1780383265
Registry record updated Feb 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
MADISON DENTAL PC
Practice address
1 Steambath Ste a
Ennis, MT 59729-8505
Phone
(406) 404-1186
Fax
(406) 404-1187
NPI assigned
Feb 23, 2023
Last updated
Feb 23, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2023

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

Authorized official

Name
William Samson, DDSNPI 1093976383
Title
Owner/Dentist
Phone
(406) 404-1186

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X NU Primary

Addresses

Primary practice location

1 Steambath Ste a
Ennis, MT 59729-8505

Mailing address

3997 Valley Commons Dr Ste a
Bozeman, MT 59718-5617
Phone (406) 404-1186

National Provider Directory

National Provider Directory

Locations

3997 Valley Commons Dr
Ste A
Bozeman, MT 59718
Phone (406) 404-1186

1 Steambath
Ste A
Ennis, MT 59729
Phone (406) 404-1186

Practitioners & affiliated clinicians

Practitioners 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1677110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677110400000",
    "number": "1780383265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3997 VALLEY COMMONS DR STE A",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597185617",
            "telephone_number": "406-404-1186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 STEAMBATH STE A",
            "city": "ENNIS",
            "state": "MT",
            "postal_code": "597298505",
            "telephone_number": "406-404-1186",
            "fax_number": "406-404-1187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MADISON DENTAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-23",
        "last_updated": "2023-02-23",
        "certification_date": "2023-02-23",
        "status": "A",
        "authorized_official_last_name": "SAMSON",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "406-404-1186",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ennis, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2023; 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.