Active NPI
Mercy Jean Padgett, DENTAL HYGIENIST
- Dental Hygienist
- Malmstrom Afb, MT
National Provider Identifier
1962012781
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- DEN-RDH-LIC-6049
- Practice address
- 7300 N Perimeter Rd
Malmstrom Afb, MT 59402-6701 - Phone
- (406) 731-4378
- NPI assigned
- Aug 6, 2020
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | DEN-RDH-LIC-6049 | MT | Primary |
Addresses
Primary practice location
7300 N Perimeter Rd
Malmstrom Afb, MT 59402-6701
Mailing address
7300 N Perimeter Rd
Malmstrom Afb, MT 59402-6701
Phone (406) 731-4378
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DEN-RDH-LIC-6049 | Other | MT | LICENSE |
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-6049 | MT | MD | Dental Hygienist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1596672000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1596672000000",
"number": "1962012781",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7300 N PERIMETER RD",
"city": "MALMSTROM AFB",
"state": "MT",
"postal_code": "594026701",
"telephone_number": "406-731-4378"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7300 N PERIMETER RD",
"city": "MALMSTROM AFB",
"state": "MT",
"postal_code": "594026701",
"telephone_number": "406-731-4378"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PADGETT",
"first_name": "MERCY",
"middle_name": "JEAN",
"credential": "DENTAL HYGIENIST",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-08-06",
"last_updated": "2020-08-06",
"certification_date": "2020-08-06",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "MT",
"license": "DEN-RDH-LIC-6049",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "DEN-RDH-LIC-6049",
"state": "MT"
}
],
"endpoints": [],
"other_names": []
}Other providers in Malmstrom Afb, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.