NPIMap

Organization Active NPI

Michael Montgomey

  • Dentist
  • Playa del Rey, CA
National Provider Identifier
1073965216
Registry record updated Jul 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
29383 Issued in CA
Legal business name
MICHAEL MONTGOMEY
Practice address
8055 W Manchester Ave
Suite 500
Playa del Rey, CA 90293-7960
Phone
(310) 821-0992
NPI assigned
Jul 12, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2016

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

Authorized official

Name
Michael Monetgomery, DDS
Title
Owner
Phone
(310) 821-0992

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 29383 CA Primary

Addresses

Primary practice location

8055 W Manchester Ave
Suite 500
Playa del Rey, CA 90293-7960

Mailing address

8055 W Manchester Ave
Suite 500
Playa del Rey, CA 90293-7960
Phone (310) 821-0992

National Provider Directory

National Provider Directory
Tax ID family
Michael Montgomey2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

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": "1468281600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1468281600000",
    "number": "1073965216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8055 W MANCHESTER AVE",
            "address_2": "SUITE 500",
            "city": "PLAYA DEL REY",
            "state": "CA",
            "postal_code": "902937960",
            "telephone_number": "310-821-0992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8055 W MANCHESTER AVE",
            "address_2": "SUITE 500",
            "city": "PLAYA DEL REY",
            "state": "CA",
            "postal_code": "902937960",
            "telephone_number": "310-821-0992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL MONTGOMEY",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-12",
        "last_updated": "2016-07-12",
        "status": "A",
        "authorized_official_last_name": "MONETGOMERY",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-821-0992",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "29383",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Playa del Rey, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2016; 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.