Active NPI
Dennis K Sacry, DDS
- General Practice Dentistry
- Whitehall, MT
National Provider Identifier
1942686423
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 1402
- Practice address
- 108 1St St W # 549
Whitehall, MT 59759-7794 - Phone
- (406) 287-3026
- Fax
- (406) 287-3014
- NPI assigned
- Aug 6, 2015
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 1402 | MT | Primary |
Addresses
Primary practice location
108 1St St W # 549
Whitehall, MT 59759-7794
Mailing address
PO Box 549
108 First Street West
Whitehall, MT 59759-0549
Phone (406) 287-3026
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160706001792 | MT | Order and Referring Only - Dentist | 1456643725 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1402 | MT | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1438819200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1438819200000",
"number": "1942686423",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 549",
"address_2": "108 FIRST STREET WEST",
"city": "WHITEHALL",
"state": "MT",
"postal_code": "597590549",
"telephone_number": "406-287-3026",
"fax_number": "406-287-3014"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "108 1ST ST W # 549",
"city": "WHITEHALL",
"state": "MT",
"postal_code": "597597794",
"telephone_number": "406-287-3026",
"fax_number": "406-287-3014"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SACRY",
"first_name": "DENNIS",
"middle_name": "K",
"name_prefix": "Mr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-08-06",
"last_updated": "2015-08-06",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "MT",
"license": "1402",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Whitehall, MT
- Katherine Ann Oneill, LCPC
- Partners United for Life Saving Education (Jefferson Valley EMS & Rescue)
- Peace of Mind Telehealth and Urgent Care LLC
- Terry Don Reiff, D.O.
- Ruth Story LCPC LLC
- Gayle Faye Sacry, M.D.
- Keaton Sacry, DMD
- Steven Forest Sacry, PA-C
- Town of Whitehall (Whitehall Ambulance Service)
- Traveling Mama Enterprises, LLC (Home Grown Nutrition)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2015; 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.