Phillip Montoya, DDS LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

2014041731 Issued in MO

Legal business name

PHILLIP MONTOYA, DDS LLC

Practice address

4951 NE Goodview Cir Ste C
Lees Summit, MO 64064-1999

Phone

(816) 373-5574

NPI assigned

Mar 9, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Phillip Matthew Montoya, DDSNPI 1801201645

Title

Dentist

Phone

(573) 247-3040

Specialties & licenses 1

Addresses

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Phillip Montoya, DDS

  • Dentist
  • Lees Summit, MO
  • NPI 1801201645
  NPD (past) Authorized official
• Robert James Lockard, D.D.S.

  • General Practice Dentistry
  • Lees Summit, MO
  • NPI 1184666075
  NPD (past)
• Michael Rizzi

  • General Practice Dentistry
  • Lees Summit, MO
  • NPI 1184517864
  NPD (past)

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

{
    "created_epoch": "1489017600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489017600000",
    "number": "1093256182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4951 NE GOODVIEW CIR STE C",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640641999",
            "telephone_number": "816-373-5574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4951 NE GOODVIEW CIR STE C",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640641999",
            "telephone_number": "816-373-5574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHILLIP MONTOYA, DDS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-09",
        "last_updated": "2017-03-09",
        "status": "A",
        "authorized_official_last_name": "MONTOYA",
        "authorized_official_first_name": "PHILLIP",
        "authorized_official_middle_name": "MATTHEW",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "573-247-3040",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "MO",
            "license": "2014041731",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erin Elizabeth Peterson, RN, BSN, IBCLC
• Geoff Peterson
• Patti K Peterson, LPC
• Tamara Lee Peterson, D.O.
• Dawn Lynette Petty, N.P.
• Amy D Phillips, C.P.N.P.
• Chelsea Phillips, IBCLC
• Tracy B Phillips, M.D.
• Physical Therapy Plus, Inc.
• Physicians Reference Laboratory LLC

• Dental Clinic/Center in Lees Summit, MO
• Providers in Lees Summit, MO by specialty
• Dental Clinic/Center in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2017; 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.