Individual provider Active NPI

Justin Matthew Stevens, DDS

  • Pediatric Dentistry
  • Bozeman, MT
National Provider Identifier
1821385915
Registry record updated Feb 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
13304 Issued in MT
Practice address
3980 Valley Commons Dr
Bozeman, MT 59718-5603
Phone
(405) 587-2327
NPI assigned
Jul 8, 2011
Last updated
Feb 18, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X 13304 MT Primary

Addresses

Primary practice location

3980 Valley Commons Dr
Bozeman, MT 59718-5603

Mailing address

3980 Valley Commons Dr
Bozeman, MT 59718-5603
Phone (303) 885-6141

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
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
I20160222002630 MN Order and Referring Only - DentistPractitioner - Dentist 6406151950

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
13304MTMDPediatric Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Wojj Pediatric Dentistry CurrentSince Aug 2, 2020 Accepting new patients

Locations

3980 Valley Commons Dr
Bozeman, MT 59718
Phone (405) 587-2327

Organizations & group practices 1

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": "1310083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771372800000",
    "number": "1821385915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3980 VALLEY COMMONS DR",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597185603",
            "telephone_number": "303-885-6141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3980 VALLEY COMMONS DR",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597185603",
            "telephone_number": "405-587-2327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEVENS",
        "first_name": "JUSTIN",
        "middle_name": "MATTHEW",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-07-08",
        "last_updated": "2026-02-18",
        "certification_date": "2026-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "MT",
            "license": "13304",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bozeman, MT

Sources for this page

Verify at the official NPI Registry.