Organization Active NPI

Aspen Denture Clinic, Inc.

  • Denturist
  • Billings, MT
National Provider Identifier
1902923949
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DenturistTaxonomy code 122400000X
License
23 Issued in MT
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.NPI 1952523961
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.

National Provider Directory

National Provider Directory

Locations

1903 Central Ave
Billings, MT 59102
Phone (406) 252-1903

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
DenturistGroup: 193400000X SINGLE SPECIALTY GROUP 122400000X 23 MT Primary

Addresses

NPPES NPI Registry

Primary 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
IdentifierTypeStateIssuer
0158185MedicaidMT

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.

Verify at the official NPI Registry.