Active NPI
Aspen Denture Clinic, Inc.
- Denturist
- Billings, MT
National Provider Identifier
1902923949
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Denturist
- License
- 23
- Legal business name
- ASPEN DENTURE CLINIC, INC.
- Practice address
- 1903 Central Ave
Billings, MT 59102-4900 - Phone
- (406) 252-1903
- NPI assigned
- Mar 23, 2007
- Organization subpart
- No
Authorized official
NPPES NPI Registry- Name
- Mr. Dylan J. Sedlacek, L.D.
- Title
- President
- Phone
- (406) 252-1903
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Denturist
- Billings, MT
- NPI 1952523961
National Provider Directory
National Provider DirectoryLocations
1903 Central Ave
Billings, MT 59102
Phone (406) 252-1903
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Denturist | 122400000X | 23 | MT | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
1903 Central Ave
Billings, MT 59102-4900
Mailing address
1903 Central Ave
Billings, MT 59102-4900
Phone (406) 252-1903
Other identifiers 1
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0158185 | Medicaid | MT |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 22, 2020.
{
"created_epoch": "1174608000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1902923949",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1903 CENTRAL AVE",
"city": "BILLINGS",
"state": "MT",
"postal_code": "591024900",
"telephone_number": "406-252-1903"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1903 CENTRAL AVE",
"city": "BILLINGS",
"state": "MT",
"postal_code": "591024900",
"telephone_number": "406-252-1903"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ASPEN DENTURE CLINIC, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-23",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "SEDLACEK",
"authorized_official_first_name": "DYLAN",
"authorized_official_middle_name": "J.",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "406-252-1903",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "L.D."
},
"taxonomies": [
{
"code": "122400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Denturist",
"state": "MT",
"license": "23",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0158185",
"state": "MT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Billings, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.