Individual provider Active NPI

Christopher B Loomis, DMD

  • General Practice Dentistry
  • Helena, MT
National Provider Identifier
1861401077
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
9705 Issued in MT
Practice address
907 Helena Ave
Helena, MT 59601-3425
Phone
(406) 422-4990
Fax
(406) 442-4939
NPI assigned
Aug 5, 2006
Last updated
Mar 7, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health Dentistry 1223D0001X 9705 MT
General Practice Dentistry 1223G0001X 9705 MT Primary

Addresses

Primary practice location

907 Helena Ave
Helena, MT 59601-3425

Mailing address

1930 9TH Ave
Helena, MT 59601-4759
Phone (406) 457-8928

Other practice location 1

1930 9th Ave
Helena, MT 59601-4759
Phone (406) 457-8928

Other identifiers 1

IdentifierTypeStateIssuer
9705OtherMTMONTANA DENTAL LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170124002732 MT Order and Referring Only - Other (Non-Physician) 2769764893

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9705MTMDPublic Health Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Christopher B. Loomis DMD PLLC General Practice Current Accepting new patients

Locations

907 Helena Ave
Helena, MT 59601
Phone (406) 422-4990

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": "1154736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1861401077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1930 9TH AVE",
            "city": "HELENA",
            "state": "MT",
            "postal_code": "596014759",
            "telephone_number": "406-457-8928",
            "fax_number": "406-457-8981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "907 HELENA AVE",
            "city": "HELENA",
            "state": "MT",
            "postal_code": "596013425",
            "telephone_number": "406-422-4990",
            "fax_number": "406-442-4939"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1930 9th Ave",
            "address_purpose": "LOCATION",
            "city": "Helena",
            "state": "MT",
            "postal_code": "596014759",
            "country_code": "US",
            "telephone_number": "406-457-8928",
            "fax_number": "406-457-8993",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOOMIS",
        "first_name": "CHRISTOPHER",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-05",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223D0001X",
            "taxonomy_group": "",
            "desc": "Dentist, Dental Public Health",
            "state": "MT",
            "license": "9705",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MT",
            "license": "9705",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MONTANA DENTAL LICENSE",
            "identifier": "9705",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Helena, MT

Sources for this page

Verify at the official NPI Registry.