WESLEY JAMES CARNAHAN (NPI# 1366088098) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366088098 |
| Entity Type | Individual |
| Full Name | WESLEY JAMES CARNAHAN |
| Credential | LD |
| Practice Address |
2825 Stockyard Rd Ste E4 Missoula MT 59808-1510 |
| Practice Telephone | 4063171314 |
| Mailing Telephone | 4063171314 |
| Enumeration Date | 2019-11-18 |
| Last Update Date | 2019-11-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122400000X | Denturist | 15312 | MT | Dental Providers |
| Street Address |
2825 STOCKYARD RD STE E4 |
| City | MISSOULA |
| State | MT |
| Zip Code | 59808-1510 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447720875 | Megan Elizabeth Galliford | Behavioral Analyst | 1647 Shindig Dr, Apt 303, Missoula, MT 59808 | 2018-11-28 |
| 1518473560 | Willow Mahana Nelson Griffith | Registered Nurse | 2829 Great Northern Loop Ste 300, Missoula, MT 59808 | 2017-12-28 |
| 1043739428 | Carol Elizabeth Mckenzie | Student in an Organized Health Care Education/Training Program | 2705 Oshaughnessy St, Missoula, MT 59808 | 2017-09-16 |
| 1558884064 | Sharon Marie Herndon | Nurse Practitioner | 2230 N Reserve St Ste 402, Missoula, MT 59808 | 2017-07-18 |
| 1427594761 | Erin Boggs | Specialist/Technologist | 2921 Dublin St, Missoula, MT 59808 | 2017-01-10 |
| 1942603287 | Benjamin Cody Mcintosh | Chiropractor | 1070 N. Russell St., Missoula, MT 59808 | 2014-10-01 |
| 1518219617 | Pure Medical Inc | Ambulance | 5515 Bonanza Place, Missoula, MT 59808 | 2012-10-12 |
| 1932462231 | Kathleen F Calcagno | Specialist/Technologist | 2615 Connery Way, Suite 2b, Missoula, MT 59808 | 2012-06-21 |
| 1639454127 | Dentyn Dunaway | Pharmacist | 2527 N Reserve Street, Missoula, MT 59808 | 2011-10-15 |
| 1750557690 | Carl Thornblade, Md, Pllc | Allergy & Immunology | 2801 Great Northern Loop Ste 101, Missoula, MT 59808 | 2008-04-30 |
| Find all providers in zip 59808 | ||||
| Taxonomy Code | 122400000X |
| Grouping | Dental Providers |
| Classification | Denturist |
| Definition to come. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285799353 | Remi Armand Berube | Denturist | 2100 Stephens Ave, Suite 104, Missoula, MT 59801-6659 | 2006-12-27 |
| 1417133026 | Kristen Heather Tinervin | Denturist | 2100 Stephens Ave, Suite 104, Missoula, MT 59801-6659 | 2008-01-14 |
| 1215088166 | Kenneth Scott Macpherson | Denturist | 715 Kensington Ave, #25b, Missoula, MT 59801 | 2007-01-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821518937 | Rick Michael Miller | Denturist | 2181 Hwy 2 E #4, Denture Solutions, Kalispell, MT 59901-2858 | 2017-06-21 |
| 1376941096 | Bc Restorations Inc | Denturist | 6 Sunset Plz Ste C, Kalispell, MT 59901-3659 | 2014-12-11 |
| 1487905931 | Carl Justin Brisendine | Denturist | 6 Sunset Plz, Suite C, Kalispell, MT 59901-3608 | 2012-09-24 |
| 1770866113 | Sandin Craig Barney | Denturist | 302 S. Delaware St., Conrad, MT 59425 | 2011-09-22 |
| 1154506889 | Douglas Arthur Crumb | Denturist | 6420 Hwy 93 S., Lakeside, MT 59922 | 2007-12-31 |
| 1134323066 | John V Mateskon | Denturist | 2149 Durston Rd, Unit 32, Bozeman, MT 59718-2805 | 2007-06-13 |
| 1134333719 | Frank Brisendine | Denturist | Lakeside Denture Studio, 6420 Hwy 93 South, Lakeside, MT 59922-0728 | 2007-05-10 |
| 1952523961 | Dylan James Sedlacek | Denturist | 1903 Central Ave., Billings, MT 59102 | 2007-05-02 |
| 1235352121 | Allen L Casteel | Denturist | 215 Smelter Ave Ne Ste 3, Great Falls, MT 59404-1937 | 2007-04-10 |
| 1245363308 | Alford Mark Rittenhouse | Denturist | 2509 7th Ave S Ste D1, Great Falls, MT 59405-3031 | 2007-03-14 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.