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DYNAMIC ROOTS WELLNESS
NPI 1942789052
Clinic/Center - Health Service in Hamilton, MT

Active since August 09, 2018CLIA 27D2142712 · Waiver
605 S 1ST ST, HAMILTON, MT 59840(406) 360-2101(406) 363-7092 Get Directions Write a Review

NPPES record last updated: August 9, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dynamic Roots Wellness NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DYNAMIC ROOTS WELLNESS (NPI 1942789052) is a healthcare organization registered as a health service in Hamilton, Montana and active in the NPI registry since August 2018. The organization holds a CLIA Waiver certificate valid through January 17, 2028 and lists Angela Rea Haugo, Physician, as its authorized official.

NPPES Registry Identity

NPI1942789052
Entity TypeOrganization
Primary Taxonomy261QH0100X
Legal Business NameDYNAMIC ROOTS WELLNESS
Location Address605 S 1ST STHamilton, MT 59840-2812
Mailing Address605 S 1st StHamilton, MT 59840-2812 · (406) 360-2101 · Fax (406) 363-7092
Phone(406) 360-2101
Fax(406) 363-7092
Organization SubpartNo
Authorized OfficialAngela Rea HaugoPhysician · (406) 360-2101
Enumeration DateAugust 9, 2018
✔ NPI 1942789052 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Health ServiceAmbulatory Health Care Facilities
Taxonomy Code261QH0100X
License✔ Licensed in MT · 12829
605 S 1ST ST, Hamilton, MT 59840
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CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 27D2142712

Dynamic Roots Wellness · Hamilton, MT
Active · expires Jan 17, 2028
CLIA Number27D2142712
Laboratory TypePhysician Office
Certificate Effective DateJanuary 18, 2026
Certificate Expiration DateJanuary 17, 2028
Laboratory DirectorAngela Haugo
Laboratory Phone(406) 662-1160
Laboratory LocationDynamic Roots Wellness605 S 1st St, Hamilton, MT 59840
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CANYON CHIROPRACTIC PC
Chiropractor
605 S 1ST ST
HAMILTON, MT 59840
Ravalli County (406) 363-3333
AMANDA L KERN LCPC
Counselor (Mental Health)
605 S 1ST ST
HAMILTON, MT 59840
Ravalli County (406) 369-2839
LEANING TREE COUNSELING PLLC
Counselor (Mental Health)
605 S 1ST ST
HAMILTON, MT 59840
Ravalli County (406) 541-0032

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dynamic Roots Wellness's NPI number?

The NPI number for Dynamic Roots Wellness is 1942789052. It was assigned to this organization in the NPPES registry on August 9, 2018.

Where is Dynamic Roots Wellness located?

Dynamic Roots Wellness is located at 605 S 1st St, Hamilton, MT 59840. The listed phone number is (406) 360-2101.

What is Dynamic Roots Wellness's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Health Service, with taxonomy code 261QH0100X.

Does Dynamic Roots Wellness hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 27D2142712) is associated with this NPI, valid through January 17, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Dynamic Roots Wellness was last updated on August 9, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.