NPIMap

Organization Active NPI

Children's Dentistry of the Rockies

  • Pediatric Dentistry
  • Missoula, MT
National Provider Identifier
1790939932
Registry record updated Dec 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
2284 Issued in MT
Legal business name
CHILDREN'S DENTISTRY OF THE ROCKIES
Practice address
1009 S Reserve St
Missoula, MT 59801-3140
Phone
(406) 549-2395
Fax
(406) 549-2437
NPI assigned
Nov 14, 2008
Last updated
Dec 28, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2015

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

Authorized official

Name
Dr. Joseph B Hylton, DDSNPI 1689719320
Title
President
Phone
(406) 549-2395

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
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X 2284 MT Primary

Addresses

Primary practice location

1009 S Reserve St
Missoula, MT 59801-3140

Mailing address

1009 S Reserve St
Missoula, MT 59801-3140
Phone (406) 549-2395

National Provider Directory

National Provider Directory

Locations

1009 S Reserve St
Missoula, MT 59801
Phone (406) 239-5200

Practitioners & affiliated clinicians

Practitioners 3

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": "1226620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1451260800000",
    "number": "1790939932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1009 S RESERVE ST",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598013140",
            "telephone_number": "406-549-2395",
            "fax_number": "406-549-2437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1009 S RESERVE ST",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598013140",
            "telephone_number": "406-549-2395",
            "fax_number": "406-549-2437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDREN'S DENTISTRY OF THE ROCKIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-14",
        "last_updated": "2015-12-28",
        "status": "A",
        "authorized_official_last_name": "HYLTON",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "406-549-2395",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "MT",
            "license": "2284",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Missoula, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2015; 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.