Organization Active NPI

Montana Oral Surgery and Dental Implant Center PLLC

  • Oral and Maxillofacial Surgery (Dentist)
  • Helena, MT
National Provider Identifier
1821328394
Registry record updated Jan 6, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
2362 Issued in MT
Legal business name
MONTANA ORAL SURGERY AND DENTAL IMPLANT CENTER PLLC
Practice address
65 Medical Park Dr
Unit #1
Helena, MT 59601-8048
Phone
(406) 443-3334
NPI assigned
Jan 6, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2010

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

Authorized official

Name
Dr. Jason Fleischmann, DMD, MD
Title
Owner
Phone
(406) 443-3334

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist)Group: 193400000X SINGLE SPECIALTY GROUP 1223S0112X 2362 MT Primary

Addresses

Primary practice location

65 Medical Park Dr
Unit #1
Helena, MT 59601-8048

Mailing address

65 Medical Park Dr
Unit #1
Helena, MT 59601-8048
Phone (406) 443-3334

Other identifiers 2

IdentifierTypeStateIssuer
134633MedicaidMT
134633OtherMTPERSONAL NPI NUMBER

National Provider Directory

National Provider Directory

Locations

65 Medical Park Dr
Ste 1
Helena, MT 59601
Phone (406) 443-3334

NPI Registry JSON

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

{
    "created_epoch": "1262736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1262736000000",
    "number": "1821328394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 MEDICAL PARK DR",
            "address_2": "UNIT #1",
            "city": "HELENA",
            "state": "MT",
            "postal_code": "596018048",
            "telephone_number": "406-443-3334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 MEDICAL PARK DR",
            "address_2": "UNIT #1",
            "city": "HELENA",
            "state": "MT",
            "postal_code": "596018048",
            "telephone_number": "406-443-3334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONTANA ORAL SURGERY AND DENTAL IMPLANT CENTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-06",
        "last_updated": "2010-01-06",
        "status": "A",
        "authorized_official_last_name": "FLEISCHMANN",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "406-443-3334",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD, MD"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "MT",
            "license": "2362",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "134633",
            "state": "MT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PERSONAL NPI NUMBER",
            "identifier": "134633",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Helena, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2010; 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.