Organization Active NPI

Great Falls Orthodontics PLLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Great Falls, MT
National Provider Identifier
1992511620
Registry record updated Dec 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
Legal business name
GREAT FALLS ORTHODONTICS PLLC
Practice address
1717 4TH St S
Great Falls, MT 59405-4133
Phone
(406) 205-3586
NPI assigned
Dec 7, 2024
Last updated
Dec 7, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2024

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

Authorized official

Name
Dr. Brad Dawson, DMDNPI 1003073511
Title
Owner
Phone
(317) 225-1010

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X NU Primary

Addresses

Primary practice location

1717 4TH St S
Great Falls, MT 59405-4133

Mailing address

265 Big Bend LN
Great Falls, MT 59404-6458
Phone (317) 225-1010

National Provider Directory

National Provider Directory

Locations

1717 4th St S
Great Falls, MT 59405
Phone (406) 449-0189

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1733529600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733529600000",
    "number": "1992511620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "265 BIG BEND LN",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "594046458",
            "telephone_number": "317-225-1010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1717 4TH ST S",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "594054133",
            "telephone_number": "406-205-3586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREAT FALLS ORTHODONTICS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-07",
        "last_updated": "2024-12-07",
        "certification_date": "2024-12-07",
        "status": "A",
        "authorized_official_last_name": "DAWSON",
        "authorized_official_first_name": "BRAD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "317-225-1010",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Great Falls, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2024; 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.