FACIAL PLASTIC AND RECONSTRUCTIVE SURGERY MONTANA PC
NPI 1407116338
Clinic/Center in Missoula, MT

NPI Status: Active since May 25, 2012

Contact Information

805 S RESERVE ST
MISSOULA, MT
ZIP 59801
Phone: (406) 549-6600
Fax: (406) 549-1511

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  • Organization
  • Clinic/Center
  • Accepts Insurance

About FACIAL PLASTIC AND RECONSTRUCTIVE SURGERY MONTANA PC

This page provides the complete NPI Profile along with additional information for Facial Plastic And Reconstructive Surgery Montana Pc, a provider established in Missoula, Montana operating as a Clinic/center. The healthcare provider is registered in the NPI registry with number 1407116338 assigned on May 2012. The practitioner's primary taxonomy code is 261Q00000X. The provider is registered as an organization and their NPI record was last updated one year ago. The provider's . The authorized official of this NPI record is Dr. Rf John Holtzen Dmd (Owner)

NPI
1407116338
Provider Legal Name
FACIAL PLASTIC AND RECONSTRUCTIVE SURGERY MONTANA PC
Other Organization Name
Other Name Type
(6)
Entity Type
Organization
Location Address
805 S RESERVE ST MISSOULA, MT 59801
Location Phone
(406) 549-6600
Location Fax
(406) 549-1511
Mailing Address
805 S RESERVE ST MISSOULA, MT 59801
Mailing Phone
(406) 549-6600
Mailing Fax
(406) 549-1511
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-25-2012
Last Update Date
04-22-2025
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center

Taxonomy Code
261Q00000X
Type
Ambulatory Health Care Facilities
Taxonomy Description
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1261QA1903XAmbulatory Health Care Facilities

Clinic/Center
Ambulatory Surgical

12580 (MT)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Blue Focus Bronze POS? 205 - POS
  • Blue Focus Bronze POS? 705 - POS
  • Blue Focus Bronze POS? Standard - POS
  • Blue Focus Gold POS? 207 - POS
  • Blue Focus Gold POS? 902 - POS
  • Blue Focus Gold POS? Standard - POS
  • Blue Focus Silver POS? 206 - POS
  • Blue Focus Silver POS? 903 - POS
  • Blue Focus Silver POS? Standard - POS
  • Blue Preferred Bronze PPO? 201 - PPO
  • Peak PPO Bronze HDHP - PPO
  • Peak PPO Bronze Standard - PPO
  • Peak PPO Catastrophic - PPO
  • Peak PPO Gold - PPO
  • Peak PPO Gold Standard - PPO
  • Peak PPO Silver - PPO
  • Peak PPO Silver Standard - PPO
  • Plus Bronze - PPO
  • Plus Bronze Standard - PPO
  • Plus Gold - PPO
  • Core Bronze HSA 10600 - EPO
  • Core Bronze HSA 7500 - EPO
  • Core Bronze HSA 8300 - EPO
  • Core Gold 1500 - EPO
  • Core Gold 3000 - EPO
  • Core Silver 3500 - EPO
  • Core Silver 4500 - EPO
  • Core Silver 5000 - EPO
  • Core Silver 7500 - EPO
  • Core Standard Expanded Bronze HSA - EPO
  • HSA Qualified 7500 Bronze - Choice Network - EPO
  • HSA-E Qualified 7500 Bronze - Signature Network - EPO
  • Providence Oregon Standard Bronze Plan - Choice Network - EPO
  • Providence Oregon Standard Bronze Plan - Signature Network - EPO
  • Providence Oregon Standard Gold Plan - Choice Network - EPO
  • Providence Oregon Standard Gold Plan - Signature Network - EPO
  • Providence Oregon Standard Silver Plan - Choice Network - EPO
  • Providence Oregon Standard Silver Plan - Signature Network - EPO
  • Lone Star - Smile Now - PPO
  • Smile Now Arizona - No Waiting Period PPO - PPO
  • Smile Now Michigan - No Waiting Period PPO - PPO
  • Smile Now Ohio - No Waiting Period PPO - PPO
  • Smile Now Texas- No Waiting Period Plan - PPO
  • Smile Now Utah - No Waiting Period PPO - PPO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. RF JOHN HOLTZEN DMD

Authorized Official Title
OWNER
Authorized Official Phone
(406) 549-6600

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
60882OTHER (01)MTBLUE CROSS BLUE SHIELD

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1407116338, we treat the final digit (8) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 52. The final step is to find the difference between that total and the next multiple of ten (60 - 52 = 8).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
4
Unchanged
Pos 3
0
Doubled → 0
Pos 4
7
Unchanged
Pos 5
1
Doubled → 2
Pos 6
1
Unchanged
Pos 7
6
Doubled → 12 → 1 + 2
Pos 8
3
Unchanged
Pos 9
3
Doubled → 6
Check
8
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 0 → 0 1 → 2 6 → 12 → 3 3 → 6

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 4 + 0 + 7 + 2 + 1 + 1 + 2 + 3 + 6 + 24 = 52

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 52 is 60. The difference is the calculated check digit.

60 - 52 = 8
This NPI is valid
The calculated check digit is 8, which matches the last digit of 1407116338.

Other Providers at the Same Location


The following 4 providers are registered at the same or a nearby location.

Oral & Maxillofacial Surgery
805 S RESERVE ST
MISSOULA, MT 59801
Oral & Maxillofacial Surgery
805 S RESERVE ST
MISSOULA, MT 59801
Specialist
805 S RESERVE ST
MISSOULA, MT 59801
Neuromusculoskeletal Medicine & OMM
805 S RESERVE ST
MISSOULA, MT 59801

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1407116338, enumerated as an "organization" on May 25, 2012.

The provider is located at 805 S RESERVE ST MISSOULA, MT 59801 and the phone number is (406) 549-6600.

Clinic/Center with taxonomy code 261Q00000X.

The provider might be accepting Accepts: Blue Cross and Blue Shield of Montana, Mountain. Please consult your insurance carrier or call the provider to verify.