Monte L. Baumgartner, DDS
Individual provider Active NPI General Practice Dentistry · Seaside, OR
NPI 1043391329 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1043391329
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- D5576 (OR)
- Practice address
- 508 N Holladay Dr
Seaside, OR 97138-6924 - Phone
- (503) 738-3368
- Fax
- (503) 717-0388
- NPI assigned
- Oct 17, 2006
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OR
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160419001146 | OR | Order and Referring Only - Dentist |
7517265903 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | D5576 | OR | Yes |
Addresses
Primary practice location
508 N Holladay Dr
Seaside, OR 97138-6924
Mailing address
508 N Holladay Dr
Seaside, OR 97138-6924
Phone (503) 738-3368
Other providers in Seaside, OR
- Neda Asadi
- Awakenings by the Sea
- Alexa S Backanen
- Holly Barker
- Nore Batouli
- Christopher James Beeman
- Nicole Benthin
- Alfred Brooke Benz
- Adam Lloyd Bingham
- Steven James Blackthorne
All providers in Seaside, OR · General Practice Dentistry in Oregon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.