Amy Kristina Lee Gustafson, DMD

Primary specialty

Public Health DentistryTaxonomy code 1223D0001X

License

2473 Issued in MT

Practice address

123 S 27TH St
Billings, MT 59101-4200

Phone

(406) 247-3333

NPI assigned

Aug 1, 2011

Last updated

Aug 1, 2011By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Amy K Thompson Other name

Medicare fee-for-service enrollment

Enrolled in MT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1312156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1312156800000",
    "number": "1942588439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 S 27TH ST",
            "city": "BILLINGS",
            "state": "MT",
            "postal_code": "591014200",
            "telephone_number": "406-247-3333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 S 27TH ST",
            "city": "BILLINGS",
            "state": "MT",
            "postal_code": "591014200",
            "telephone_number": "406-247-3333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUSTAFSON",
        "first_name": "AMY",
        "middle_name": "KRISTINA LEE",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-01",
        "last_updated": "2011-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223D0001X",
            "taxonomy_group": "",
            "desc": "Dentist, Dental Public Health",
            "state": "MT",
            "license": "2473",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMY",
            "last_name": "THOMPSON",
            "middle_name": "K",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Grant Richard Gunderson, MD
• Gabrielle Gunlikson, OD
• Fred E. Gunville, MD
• Earl J Gurevitch, M.D.
• Stephanie Ann Gushwa, MS, OTRL
• Aidan Guthridge, PHARMD
• Consuelo M. Gutierez, LCSW, LICSW
• James Wesley Guyer, M.D.
• Erica N Guyton
• Glenn K. Guzman, MD

• Public Health Dentistry in Billings, MT
• Providers in Billings, MT by specialty
• Public Health Dentistry in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2011; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.