Active NPI
Raelynn Myers, RDH
- Dental Hygienist
- Havre, MT
National Provider Identifier
1932816907
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- DEN-RDH-LIC-7843
- Practice address
- 521 4TH St
Havre, MT 59501-3649 - Phone
- (406) 395-4305
- NPI assigned
- Oct 31, 2022
- Last updated
- Jun 27, 2023
- 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 |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | DEN-RDH-LIC-7843 | MT | Primary |
Addresses
Primary practice location
521 4TH St
Havre, MT 59501-3649
Mailing address
1338 8TH Ave
Havre, MT 59501-5326
Phone (406) 390-5400
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DEN-RDH-LIC-7843 | MT | MD | Dental Hygienist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bullhook Community Health Center, Inc. | Dental Hygienist | Past | Accepting new patients |
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.
-
dba Bullhook Clinic
- Federally Qualified Health Center (FQHC)
- Havre, MT
- NPI 1528258720
Dental Hygienist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1667174400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1687824000000",
"number": "1932816907",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1338 8TH AVE",
"city": "HAVRE",
"state": "MT",
"postal_code": "595015326",
"telephone_number": "406-390-5400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "521 4TH ST",
"city": "HAVRE",
"state": "MT",
"postal_code": "595013649",
"telephone_number": "406-395-4305"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MYERS",
"first_name": "RAELYNN",
"credential": "RDH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-10-31",
"last_updated": "2023-06-27",
"certification_date": "2023-06-27",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "MT",
"license": "DEN-RDH-LIC-7843",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Havre, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.