Active NPI
James D Vesbach, D.D.S.
- Dentist
- Crow Agency, MT
National Provider Identifier
1992919880
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 5000845-015
- Practice address
- Crow Norther Cheyenne Hospital, 1 Hospital Road
Dental Clinic
Crow Agency, MT 59022 - Phone
- (406) 638-3470
- NPI assigned
- May 9, 2007
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Dentist | 122300000X | 5000845-015 | WI | Primary |
Addresses
Primary practice location
Crow Norther Cheyenne Hospital, 1 Hospital Road
Dental Clinic
Crow Agency, MT 59022
Mailing address
RR 1 Box 1108a
Hardin, MT 59034-9714
Phone (406) 665-2404
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5000845-015 | WI | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178668800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1320105600000",
"number": "1992919880",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "RR 1 BOX 1108A",
"city": "HARDIN",
"state": "MT",
"postal_code": "590349714",
"telephone_number": "406-665-2404"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CROW NORTHER CHEYENNE HOSPITAL, 1 HOSPITAL ROAD",
"address_2": "DENTAL CLINIC",
"city": "CROW AGENCY",
"state": "MT",
"postal_code": "59022",
"telephone_number": "406-638-3470"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VESBACH",
"first_name": "JAMES",
"middle_name": "D",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-09",
"last_updated": "2011-11-01",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "WI",
"license": "5000845-015",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Crow Agency, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 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.