Active NPI
Jaden Howard Erwin, DDS, MSD
- Periodontics
- Butte, MT
National Provider Identifier
1952424723
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- License
- 2206
- Practice address
- 25 Discovery Dr
Butte, MT 59701-3124 - Phone
- (406) 782-7200
- Fax
- (406) 782-7201
- NPI assigned
- Apr 9, 2007
- 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 |
|---|---|---|---|---|
| Periodontics | 1223P0300X | 2206 | MT | Primary |
Addresses
Primary practice location
25 Discovery Dr
Butte, MT 59701-3124
Mailing address
25 Discovery Dr
Butte, MT 59701-3124
Phone (406) 782-7200
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 |
|---|---|---|---|---|
| I20150824001664 | MT | Order and Referring Only - Oral Surgery | 8325354111 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176076800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1444262400000",
"number": "1952424723",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25 DISCOVERY DR",
"city": "BUTTE",
"state": "MT",
"postal_code": "597013124",
"telephone_number": "406-782-7200",
"fax_number": "406-782-7201"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25 DISCOVERY DR",
"city": "BUTTE",
"state": "MT",
"postal_code": "597013124",
"telephone_number": "406-782-7200",
"fax_number": "406-782-7201"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ERWIN",
"first_name": "JADEN",
"middle_name": "HOWARD",
"name_prefix": "Dr.",
"credential": "DDS, MSD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-04-09",
"last_updated": "2015-10-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "MT",
"license": "2206",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Butte, MT
- William Bruce Ellis, M.D.
- Empres at Butte, LLC (Butte Health and Rehabilitation Center)
- Dawn M English, LCSW AND LCPC
- Samantha Mikayla Enloe, OTD, OTR/L
- Epiphany Dermatology of Montana, PLLC
- Emily Evans, LCSW
- Mathew Ryan Evans, LCSW
- Evergreen at Butte, L.L.C. (Evergreen Butte Health and REhabilitation Center)
- Constance Marie Everly, RPH
- Jennifer Evers, LCSW
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 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.