NPIMap

Organization Active NPI

Andrade-Montalvo DDS a Professional Corporation

  • General Practice Dentistry
  • Sacramento, CA
National Provider Identifier
1013158435
Registry record updated Mar 14, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
55064 Issued in CA
Legal business name
ANDRADE-MONTALVO DDS A PROFESSIONAL CORPORATION
Doing business as
Dynamic Dental
Practice address
9833 Horn Rd Ste a
Sacramento, CA 95827-1945
Phone
(916) 368-2500
Fax
(916) 368-2504
NPI assigned
Mar 14, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2009

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

Authorized official

Name
Dr. Denisse Montalvo, DDSNPI 1619190295
Title
Dentist
Phone
(916) 368-2500

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
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 55064 CA Primary

Addresses

Primary practice location

9833 Horn Rd Ste a
Sacramento, CA 95827-1945

Mailing address

9833 Horn Rd Ste a
Sacramento, CA 95827-1945
Phone (916) 368-2500

Other names 1

  • Dynamic Dental Doing business as

National Provider Directory

National Provider Directory

Locations

9833 Horn Rd
Ste A
Sacramento, CA 95827
Phone (916) 368-2500

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1236988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236988800000",
    "number": "1013158435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9833 HORN RD STE A",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958271945",
            "telephone_number": "916-368-2500",
            "fax_number": "916-368-2504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9833 HORN RD STE A",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958271945",
            "telephone_number": "916-368-2500",
            "fax_number": "916-368-2504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDRADE-MONTALVO DDS A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-14",
        "last_updated": "2009-03-14",
        "status": "A",
        "authorized_official_last_name": "MONTALVO",
        "authorized_official_first_name": "DENISSE",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "916-368-2500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "55064",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dynamic Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sacramento, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2009; 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.