Active NPI
Steven L Spainhower, D.D.S.
- General Practice Dentistry
- Bozeman, MT
National Provider Identifier
1962430124
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 1363
- Practice address
- 115 W Kagy Blvd
Suite J
Bozeman, MT 59715-6027 - Phone
- (406) 587-4221
- Fax
- (406) 586-0555
- NPI assigned
- Jun 28, 2006
- 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 | 1363 | MT | Primary |
Addresses
Primary practice location
115 W Kagy Blvd
Suite J
Bozeman, MT 59715-6027
Mailing address
115 W Kagy Blvd
Suite J
Bozeman, MT 59715-6027
Phone (406) 587-4221
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 55695 | Other | PA | UNITED CONCORDIA-TRICARE |
| 5510050 | Medicaid | MT | |
| 0120159 | Medicaid | MT |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1363 | MT | MD | Substance Use Disorder Rehabilitation Clinic/Center |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151452800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1297036800000",
"number": "1962430124",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "115 W KAGY BLVD",
"address_2": "SUITE J",
"city": "BOZEMAN",
"state": "MT",
"postal_code": "597156027",
"telephone_number": "406-587-4221",
"fax_number": "406-586-0555"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "115 W KAGY BLVD",
"address_2": "SUITE J",
"city": "BOZEMAN",
"state": "MT",
"postal_code": "597156027",
"telephone_number": "406-587-4221",
"fax_number": "406-586-0555"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPAINHOWER",
"first_name": "STEVEN",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-28",
"last_updated": "2011-02-07",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "MT",
"license": "1363",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED CONCORDIA-TRICARE",
"identifier": "55695",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5510050",
"state": "MT"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0120159",
"state": "MT"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bozeman, MT
- Mozelle M Soule, PA-C
- Source Counseling Collective
- Southwestern Montana Home Care (Right at Home)
- Dawn Sowell, PCLC
- Daniel Lewis Spain, DDS
- Megan Spalding, LCPC
- Spanish Peaks Mental Health, PLLC (Mountain Heart Counseling)
- Joan Marie Spannring, APRN
- Spark Neurobehavioral Solutions, PLLC
- Rex P. Spear, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.