Individual provider Active NPI

Monte Curtis Junker, DDS

  • General Practice Dentistry
  • The Dalles, OR
National Provider Identifier
1063490423
Registry record updated Apr 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
D11021 Issued in OR
Practice address
1025 Vey Way
The Dalles, OR 97058
Phone
(543) 370-7120
Fax
(541) 516-4081
NPI assigned
Jan 5, 2006
Last updated
Apr 12, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X D11021 OR Primary
General Practice Dentistry 1223G0001X 7946 WA

Addresses

Primary practice location

1025 Vey Way
The Dalles, OR 97058

Mailing address

PO Box 11470
Eugene, OR 97440-3670
Phone (541) 370-7120

Other practice location 1

8400 NE Vancouver Mall Drive
#105
Vancouver, WA 98662
Phone (360) 254-8880

Other practice location 2

1025 Vey Way
The Dalles, OR 97058
Phone (541) 370-7120

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180629000502 TX Practitioner - Oral Surgery 9133475494

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
D11021ORMDGeneral Practice Dentistry
7946WAMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1136419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555027200000",
    "number": "1063490423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11470",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974403670",
            "telephone_number": "541-370-7120",
            "fax_number": "541-516-4081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1025 VEY WAY",
            "city": "THE DALLES",
            "state": "OR",
            "postal_code": "97058",
            "telephone_number": "543-370-7120",
            "fax_number": "541-516-4081"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8400 NE Vancouver Mall Drive",
            "address_2": "#105",
            "address_purpose": "LOCATION",
            "city": "Vancouver",
            "state": "WA",
            "postal_code": "98662",
            "country_code": "US",
            "telephone_number": "360-254-8880",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1025 Vey Way",
            "address_purpose": "LOCATION",
            "city": "The Dalles",
            "state": "OR",
            "postal_code": "97058",
            "country_code": "US",
            "telephone_number": "541-370-7120",
            "fax_number": "541-516-4081",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JUNKER",
        "first_name": "MONTE",
        "middle_name": "CURTIS",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-05",
        "last_updated": "2019-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OR",
            "license": "D11021",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "7946",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in The Dalles, OR

Sources for this page

Verify at the official NPI Registry.