Jerome Dunst, M.D.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

4502 Issued in MT

Practice address

6 13TH Ave E
Polson, MT 59860-5315

Phone

(406) 883-8401

Fax

(406) 883-8244

NPI assigned

Jan 3, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1902953128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 A AVE APT 21",
            "city": "POLSON",
            "state": "MT",
            "postal_code": "598604075",
            "telephone_number": "406-883-0849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 13TH AVE E",
            "city": "POLSON",
            "state": "MT",
            "postal_code": "598605315",
            "telephone_number": "406-883-8401",
            "fax_number": "406-883-8244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUNST",
        "first_name": "JEROME",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MT",
            "license": "4502",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBER",
            "identifier": "4502",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lesley E. Dubay, LAC
• Elizabeth Duckworth
• Michael Lucian Dumouchel, DNP, CRNA, NSPM-C
• Shamyne Hover Dumouchel, FNP
• Stacey Jo Dunn, PHD
• Hannah Dupea, MD
• Derrek Durocher, DC
• Jesse Rae Durocher, DC
• Shana Eaglefeathers, DO
• Rachel Edington, LCPC

• Diagnostic Radiology Physician in Polson, MT
• Providers in Polson, MT by specialty
• Diagnostic Radiology Physician in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.