NPIMap

Organization Active NPI

Montana Laser and Medical Center, PLLC

  • General Practice Physician
  • Kalispell, MT
National Provider Identifier
1992253074
Registry record updated Oct 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
MONTANA LASER AND MEDICAL CENTER, PLLC
Practice address
1327 US Highway 2 W Ste 2
Kalispell, MT 59901-3413
Phone
(406) 314-6400
Fax
(406) 314-6401
NPI assigned
Sep 16, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2023

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

Authorized official

Name
Dr. Jason Rountree, DCNPI 1528305810
Title
Owner
Phone
(406) 314-6400

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X CHI-CHI-LIC-1242 MT
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X NUR-APRN-LIC-127106 MT
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

1327 US Highway 2 W Ste 2
Kalispell, MT 59901-3413

Mailing address

1327 US Highway 2 W Ste 2
Kalispell, MT 59901-3413
Phone (406) 314-6400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20161114001912 MT Part B Supplier - Clinic/Group Practice 7517246663 Receives reassigned benefits from 4 practitioners
Practice locations: Kalispell, MT

National Provider Directory

National Provider Directory

Locations

1327 US Highway 2 W
Ste 2
Kalispell, MT 59901
Phone (406) 314-6400

Practitioners & affiliated clinicians

Practitioners 4

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": "1473984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697500800000",
    "number": "1992253074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1327 US HIGHWAY 2 W STE 2",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599013413",
            "telephone_number": "406-314-6400",
            "fax_number": "406-314-6401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1327 US HIGHWAY 2 W STE 2",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599013413",
            "telephone_number": "406-314-6400",
            "fax_number": "406-314-6401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONTANA LASER AND MEDICAL CENTER, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-16",
        "last_updated": "2023-10-17",
        "certification_date": "2023-10-17",
        "status": "A",
        "authorized_official_last_name": "ROUNTREE",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "406-314-6400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "MT",
            "license": "CHI-CHI-LIC-1242",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "MT",
            "license": "NUR-APRN-LIC-127106",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kalispell, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.