Individual provider Active NPI

Lars Monson Swensen, DMD

  • General Practice Dentistry
  • Havre, MT
National Provider Identifier
1790827632
Registry record updated Oct 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
MT2133 Issued in MT
Practice address
424 3Rd St
Havre, MT 59501
Phone
(406) 265-7886
Fax
(406) 265-9782
NPI assigned
Feb 13, 2007
Last updated
Oct 6, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2025

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 MT2133 MT Primary

Addresses

Primary practice location

424 3Rd St
Havre, MT 59501

Mailing address

424 3Rd St
Havre, MT 59501
Phone (406) 265-7886

Other identifiers 1

IdentifierTypeStateIssuer
0113169MedicaidMT

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
I20150714001677 MT Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 9537472931

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MT2133MTMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Cast & Crown Dental PLLC General Practice Past Accepting new patients
Havre Dental Group Inc General Practice PastSince Nov 5, 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": "1171324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759708800000",
    "number": "1790827632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "424 3RD ST",
            "city": "HAVRE",
            "state": "MT",
            "postal_code": "59501",
            "telephone_number": "406-265-7886",
            "fax_number": "406-265-9782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "424 3RD ST",
            "city": "HAVRE",
            "state": "MT",
            "postal_code": "59501",
            "telephone_number": "406-265-7886",
            "fax_number": "406-265-9782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWENSEN",
        "first_name": "LARS",
        "middle_name": "MONSON",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-13",
        "last_updated": "2025-10-06",
        "certification_date": "2025-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MT",
            "license": "MT2133",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0113169",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Havre, MT

Sources for this page

Verify at the official NPI Registry.