Active NPI
Lindsey Marie Hollern, D.D.S.
- General Practice Dentistry
- Missoula, MT
National Provider Identifier
1881901635
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 2434
- Practice address
- 401 Railroad St W
Missoula, MT 59802-4109 - Phone
- (406) 258-4195
- Fax
- (406) 258-4180
- NPI assigned
- Aug 31, 2010
- Last updated
- Apr 2, 2012
- Sex
- Female
- Sole proprietor
- No
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 | 2434 | MT | Primary |
Addresses
Primary practice location
401 Railroad St W
Missoula, MT 59802-4109
Mailing address
323 W Alder St
Missoula, MT 59802-4123
Phone (406) 258-4195
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Jun 24, 2015 through Jun 24, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2434 | MT | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jason Tanguay, DDS, LLC | General Practice | Past | Accepting new patients |
| Mint Dental LLC | General Practice | Past | Accepting new patients |
Organizations & group practices 2
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.
-
dba Mint Dental Studio
- General Practice Dentistry
- Bozeman, MT
- NPI 1164858361
-
- General Practice Dentistry
- Bozeman, MT
- NPI 1912472390
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1283212800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1333324800000",
"number": "1881901635",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "323 W ALDER ST",
"city": "MISSOULA",
"state": "MT",
"postal_code": "598024123",
"telephone_number": "406-258-4195",
"fax_number": "406-258-4180"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 RAILROAD ST W",
"city": "MISSOULA",
"state": "MT",
"postal_code": "598024109",
"telephone_number": "406-258-4195",
"fax_number": "406-258-4180"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLLERN",
"first_name": "LINDSEY",
"middle_name": "MARIE",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-08-31",
"last_updated": "2012-04-02",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "MT",
"license": "2434",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Missoula, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.