Samantha Ann Montoya, DDS, MS

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

DN25697 Issued in FL

Practice address

1530 Business Center Dr Ste 2
Fleming Island, FL 32003-9027

Phone

(904) 215-0980

Fax

(904) 215-0952

NPI assigned

Jun 20, 2020

Last updated

Jul 10, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Other identifiers 1

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

Locations

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.

• Oasis Orthodontics, PLLC

  • Dental Clinic/Center
  • Fleming Island, FL
  • NPI 1225677925
  NPD Authorized official

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

{
    "created_epoch": "1592611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720569600000",
    "number": "1104442631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1530 BUSINESS CENTER DR STE 2",
            "city": "FLEMING ISLAND",
            "state": "FL",
            "postal_code": "320039027",
            "telephone_number": "904-215-0980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1530 BUSINESS CENTER DR STE 2",
            "city": "FLEMING ISLAND",
            "state": "FL",
            "postal_code": "320039027",
            "telephone_number": "904-215-0980",
            "fax_number": "904-215-0952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTOYA",
        "first_name": "SAMANTHA",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "DDS, MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-20",
        "last_updated": "2024-07-10",
        "certification_date": "2024-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019.032678",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN25697",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NC",
            "license": "11809",
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "FL",
            "license": "DN25697",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLINIC/CENTER - DENTAL",
            "identifier": "1225677925",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mehdi M Moezi, MD
• Meredith K Molnar, APRN
• Andrea Leigh Moncrief, PMHNP
• Amanda Kay Monkoski, LDO
• Mallory Montgomery
• Beth Marie Moody, RBT
• Jamie Moore, PTA
• Caitlynn Morse, DPT
• Chloe Nicole Morway
• Isabella Munoz

• Orthodontics and Dentofacial Orthopedics Dentistry in Fleming Island, FL
• Providers in Fleming Island, FL by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2024; 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.