Organization Active NPI

Molars on the Move PLLC

  • Dental Clinic/Center
  • Great Falls, MT
National Provider Identifier
1801384037
Registry record updated Apr 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
1060 Issued in MT
Legal business name
MOLARS ON THE MOVE PLLC
Practice address
2812 6TH Ave S
Great Falls, MT 59405-3127
Phone
(406) 799-3876
NPI assigned
Apr 24, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2018

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

Authorized official

Name
Mrs. Kim R Dunlap, RDH
Title
Dental Hygiene
Phone
(406) 799-3876

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dental HygienistGroup: 193400000X SINGLE SPECIALTY GROUP 124Q00000X 1060 MT
Dental Clinic/Center 261QD0000X 1060 MT Primary

Addresses

Primary practice location

2812 6TH Ave S
Great Falls, MT 59405-3127

Mailing address

2812 6TH Ave S
Great Falls, MT 59405-3127
Phone (406) 799-3876

Other identifiers 1

IdentifierTypeStateIssuer
7119787MedicaidMT

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1524528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1524528000000",
    "number": "1801384037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2812 6TH AVE S",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "594053127",
            "telephone_number": "406-799-3876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2812 6TH AVE S",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "594053127",
            "telephone_number": "406-799-3876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOLARS ON THE MOVE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-24",
        "last_updated": "2018-04-24",
        "status": "A",
        "authorized_official_last_name": "DUNLAP",
        "authorized_official_first_name": "KIM",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "DENTAL HYGIENE",
        "authorized_official_telephone_number": "406-799-3876",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RDH"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dental Hygienist",
            "state": "MT",
            "license": "1060",
            "primary": false
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "MT",
            "license": "1060",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7119787",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Great Falls, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2018; 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.