Organization Active NPI

Montag and Ocrainiciuc DDS, LLC

  • Dental Clinic/Center
  • Massillon, OH
National Provider Identifier
1053044883
Registry record updated Jul 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
MONTAG AND OCRAINICIUC DDS, LLC
Practice address
224 Lincoln Way E
Massillon, OH 44646-8416
Phone
(740) 238-3456
NPI assigned
Jul 8, 2022
Organization subpart
Yes
Parent organization
MONTAG AND OCRAINICIUC DDS, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 8, 2022

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

Authorized official

Name
Dr. Dallas Montag, DDS
Title
Dentist
Phone
(740) 238-3456

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

224 Lincoln Way E
Massillon, OH 44646-8416

Mailing address

224 Lincoln Way E
Massillon, OH 44646-8416
Phone (740) 238-3456

Other identifiers 1

IdentifierTypeStateIssuer
1932788825OtherOHDENTIST

Other names 1

  • Hometown Family Dental Doing business as

National Provider Directory

National Provider Directory
Part of
Montag and Ocrainiciuc DDS LLC

Locations

224 Lincoln Way E
Massillon, OH 44646
Phone (330) 833-8891

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": "1657238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657238400000",
    "number": "1053044883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "224 LINCOLN WAY E",
            "city": "MASSILLON",
            "state": "OH",
            "postal_code": "446468416",
            "telephone_number": "740-238-3456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "224 LINCOLN WAY E",
            "city": "MASSILLON",
            "state": "OH",
            "postal_code": "446468416",
            "telephone_number": "740-238-3456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONTAG AND OCRAINICIUC DDS, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MONTAG AND OCRAINICIUC DDS, LLC",
        "enumeration_date": "2022-07-08",
        "last_updated": "2022-07-08",
        "certification_date": "2022-07-08",
        "status": "A",
        "authorized_official_last_name": "MONTAG",
        "authorized_official_first_name": "DALLAS",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "740-238-3456",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTIST",
            "identifier": "1932788825",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hometown Family Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Massillon, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2022; 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.