Active NPI
Hero Dental of Brockton, PA
- Dentist
- Brockton, MA
National Provider Identifier
1083801419
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- Legal business name
- HERO DENTAL OF BROCKTON, PA
- Practice address
- 21Torrey
Brockton, MA 02301 - Phone
- (719) 576-1850
- Fax
- (719) 576-1929
- NPI assigned
- Oct 1, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Ronald B. Montano, D.D.S.
- Title
- Owner
- Phone
- (719) 576-1850
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | Primary |
Addresses
Primary practice location
21Torrey
Brockton, MA 02301
Mailing address
1255 Lake Plaza Dr
Ste. 270
Colorado Springs, CO 80906-3500
Phone (719) 576-1850
Other names 1
- Adventure Dental of Brockton
National Provider Directory
National Provider DirectoryLocations
1255 Lake Plaza Dr
Ste 270
Colorado Springs, CO 80906
Phone (719) 473-6114
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1191196800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1191196800000",
"number": "1083801419",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1255 LAKE PLAZA DR",
"address_2": "STE. 270",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809063500",
"telephone_number": "719-576-1850",
"fax_number": "719-576-1929"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21TORREY",
"city": "BROCKTON",
"state": "MA",
"postal_code": "02301",
"telephone_number": "719-576-1850",
"fax_number": "719-576-1929"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HERO DENTAL OF BROCKTON, PA",
"organizational_subpart": "NO",
"enumeration_date": "2007-10-01",
"last_updated": "2007-10-01",
"status": "A",
"authorized_official_last_name": "MONTANO",
"authorized_official_first_name": "RONALD",
"authorized_official_middle_name": "B.",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "719-576-1850",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.D.S."
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Adventure Dental of Brockton",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Brockton, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.