NPIMap

Organization Active NPI

Fred L. Sayre DMD PC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Missoula, MT
National Provider Identifier
1972833846
Registry record updated Dec 28, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
1308 Issued in MT
Legal business name
FRED L. SAYRE DMD PC
Practice address
705 W Sussex Ave
Missoula, MT 59801-6834
Phone
(406) 728-4032
Fax
(406) 728-7380
NPI assigned
Dec 28, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2009

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

Authorized official

Name
Fred L Sayre, DMDNPI 1265568901
Title
Owner
Phone
(406) 728-4032

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223X0400X 1308 MT Primary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223X0400X 2138 MT

Addresses

Primary practice location

705 W Sussex Ave
Missoula, MT 59801-6834

Mailing address

705 W Sussex Ave
Missoula, MT 59801-6834
Phone (406) 728-4032

National Provider Directory

National Provider Directory

Locations

705 W Sussex Ave
Missoula, MT 59801
Phone (406) 728-4032

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1261958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1261958400000",
    "number": "1972833846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "705 W SUSSEX AVE",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598016834",
            "telephone_number": "406-728-4032",
            "fax_number": "406-728-7380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 W SUSSEX AVE",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598016834",
            "telephone_number": "406-728-4032",
            "fax_number": "406-728-7380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRED L. SAYRE DMD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-28",
        "last_updated": "2009-12-28",
        "status": "A",
        "authorized_official_last_name": "SAYRE",
        "authorized_official_first_name": "FRED",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "406-728-4032",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "MT",
            "license": "1308",
            "primary": true
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "MT",
            "license": "2138",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Missoula, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.