Organization Active NPI

Montante Plastic Surgery & Aesthetics, LLC

  • Plastic Surgery Physician
  • Richmond, VA
National Provider Identifier
1083140313
Registry record updated Aug 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
0101055334 Issued in VA
Legal business name
MONTANTE PLASTIC SURGERY & AESTHETICS, LLC
Practice address
5706 Grove Ave Ste 201
Richmond, VA 23226-2346
Phone
(804) 325-4795
NPI assigned
May 5, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2019

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

Authorized official

Name
Steven J Montante, M.D.NPI 1154407617
Title
President
Phone
(804) 615-7657

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
Plastic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208200000X 0101055334 VA Primary

Addresses

Primary practice location

5706 Grove Ave Ste 201
Richmond, VA 23226-2346

Mailing address

5706 Grove Ave Ste 201
Richmond, VA 23226-2343
Phone (804) 325-4795

Other practice location 1

7605 Forest Ave
Suite 100
Richmond, VA 23229-4938
Phone (804) 325-4795

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170619001056 VA Part B Supplier - Clinic/Group Practice 3577831486 Receives reassigned benefits from 1 practitioner
Practice locations: Richmond, VA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
49D2337755Montante Plastic Surgery & Aesthetics, LLC5706 Grove Ave, Suite 201, Richmond, VA 23226Certificate of waiverJan 28, 2028

National Provider Directory

National Provider Directory

Locations

5706 Grove Ave
Ste 201
Richmond, VA 23226
Phone (804) 325-4795

7605 Forest Ave
Ste 100
Richmond, VA 23229
Phone (804) 288-8338

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": "1493942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1565308800000",
    "number": "1083140313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5706 GROVE AVE STE 201",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232262343",
            "telephone_number": "804-325-4795",
            "fax_number": "804-441-8746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5706 GROVE AVE STE 201",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232262346",
            "telephone_number": "804-325-4795"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7605 Forest Ave",
            "address_2": "Suite 100",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "VA",
            "postal_code": "232294938",
            "country_code": "US",
            "telephone_number": "804-325-4795",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MONTANTE PLASTIC SURGERY & AESTHETICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-05",
        "last_updated": "2019-08-09",
        "status": "A",
        "authorized_official_last_name": "MONTANTE",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "804-615-7657",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": "VA",
            "license": "0101055334",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.