Charles E Montoure, DDS MS

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

3860 Issued in WI

Practice address

2000 Shady Lane
Green Bay, WI 54313-9311

Phone

(920) 499-3721

Fax

(920) 499-7502

NPI assigned

Jun 8, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Charles E. Montoure, DDS, Ms Mark H Hanson, DDS, Ms, SC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Green Bay, WI
  • NPI 1194926527
  NPD (past) Authorized official
• Engage Orthodontics-Hanson SC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Green Bay, WI
  • NPI 1366026676
  NPD (past)

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

{
    "created_epoch": "1181260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1083817845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 SHADY LANE",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543139311",
            "telephone_number": "920-499-3721",
            "fax_number": "920-499-7502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 SHADY LANE",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543139311",
            "telephone_number": "920-499-3721",
            "fax_number": "920-499-7502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTOURE",
        "first_name": "CHARLES",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "DDS MS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "WI",
            "license": "3860",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert J Monette, MD
• Rachel Ann Monfils, BSW CSW
• Monroe Biotechnology, Inc.
• Daniel Fernando Monroy Chaves, MD
• Michelle Montesinos
• Moon Counseling LLC
• Kelsey Moon, MA, LPC
• Kimberly Moore, LAT
• Terry J Moore, MD
• Melissa Ann Mooren

• Orthodontics and Dentofacial Orthopedics Dentistry in Green Bay, WI
• Providers in Green Bay, WI by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.