Individual provider Active NPI

Ricardo Montes de Oca, DMD

  • General Practice Dentistry
  • Atlanta, GA
National Provider Identifier
1083830954
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN011378 Issued in GA
Practice address
3369 Buford Hwy NE
Suite 840
Atlanta, GA 30329-3722
Phone
(404) 636-5570
Fax
(404) 636-4879
NPI assigned
Apr 18, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DN011378 GA Primary

Addresses

Primary practice location

3369 Buford Hwy NE
Suite 840
Atlanta, GA 30329-3722

Mailing address

535 Tumbling Creek Dr
Alpharetta, GA 30005-3483
Phone (770) 740-8935

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DN011378GAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Ricardo Montes de Oca, DMD P.C. General Practice Past Accepting new patients
J. Griffiths Dentistry, LLC PastSince Aug 8, 2021 Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1176854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1083830954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "535 TUMBLING CREEK DR",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300053483",
            "telephone_number": "770-740-8935",
            "fax_number": "404-636-4879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3369 BUFORD HWY NE",
            "address_2": "SUITE 840",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303293722",
            "telephone_number": "404-636-5570",
            "fax_number": "404-636-4879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTES DE OCA",
        "first_name": "RICARDO",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN011378",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • 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.