Active NPI
James E. Paisley, DDS
- General Practice Dentistry
- Kalispell, MT
National Provider Identifier
1821153446
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 1425
- Practice address
- 221 Parkway Dr
Kalispell, MT 59901-3013 - Phone
- (406) 752-2372
- Fax
- (406) 752-0066
- NPI assigned
- Dec 26, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 1425 | MT | Primary |
Addresses
Primary practice location
221 Parkway Dr
Kalispell, MT 59901-3013
Mailing address
221 Parkway Dr
Kalispell, MT 59901-3013
Phone (406) 752-2372
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0111969 | Medicaid | MT | |
| 14254 | Other | MT | BLUE CROSS BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1425 | MT | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167091200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1821153446",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "221 PARKWAY DR",
"city": "KALISPELL",
"state": "MT",
"postal_code": "599013013",
"telephone_number": "406-752-2372",
"fax_number": "406-752-0066"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "221 PARKWAY DR",
"city": "KALISPELL",
"state": "MT",
"postal_code": "599013013",
"telephone_number": "406-752-2372",
"fax_number": "406-752-0066"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAISLEY",
"first_name": "JAMES",
"middle_name": "E.",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-26",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "MT",
"license": "1425",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0111969",
"state": "MT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "14254",
"state": "MT"
}
],
"endpoints": [],
"other_names": []
}Other providers in Kalispell, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.