Organization Active NPI

Hero Dental of Brockton, PA

  • Dentist
  • Brockton, MA
National Provider Identifier
1083801419
Registry record updated Oct 1, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
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

Updated by the provider on Oct 1, 2007

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)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 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 Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.