Jeffrey Scott Bird, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2462 Issued in MT

Practice address

203B Ridgewater Dr Ste 1
Polson, MT 59860-9194

Phone

(406) 883-6269

Fax

(406) 883-9203

NPI assigned

Jul 6, 2011

Last updated

Feb 6, 2020By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Bird Family Dentistry

  • General Practice Dentistry
  • Polson, MT
  • NPI 1053787655
  NPD Authorized official

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

{
    "created_epoch": "1309910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580947200000",
    "number": "1982991329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203B RIDGEWATER DR STE 1",
            "city": "POLSON",
            "state": "MT",
            "postal_code": "598609194",
            "telephone_number": "406-883-6269",
            "fax_number": "406-319-2076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203B RIDGEWATER DR STE 1",
            "city": "POLSON",
            "state": "MT",
            "postal_code": "598609194",
            "telephone_number": "406-883-6269",
            "fax_number": "406-883-9203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIRD",
        "first_name": "JEFFREY",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-07-06",
        "last_updated": "2020-02-06",
        "certification_date": "2020-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MT",
            "license": "2462",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MT",
            "license": "2462",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7097623",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Big Sky Dental Clinic
• Big Sky Pediatric Polson PLLC
• Triva Bilile, RPH
• Isaac Billings, D.O.
• Bird Family Dentistry
• Royalee J. Bishop, LPN
• Bobbi Jo Blackweasel, R.N
• Chelsea Boggess
• Brittany Leigh Borman, PA-C
• Boule Sophia LLC

• General Practice Dentistry in Polson, MT
• Providers in Polson, MT by specialty
• General Practice Dentistry in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2020; 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.

Verify at the official NPI Registry.