Active NPI
Luis Gerardo Montoya Davila, DDS
- Dentist
- Boston, MA
National Provider Identifier
1114836699
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DL101844
- Practice address
- 495 Western Ave
Boston, MA 02135-1007 - Phone
- (617) 208-1656
- NPI assigned
- Sep 2, 2026
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DL101844 | MA | Primary |
Addresses
Primary practice location
495 Western Ave
Boston, MA 02135-1007
Mailing address
200 Quarry Hills Dr Apt 1234
Quincy, MA 02169-3825
Phone (857) 347-1289
Other practice location 1
43 Foundry Ave
Waltham, MA 02453-8313
Phone (781) 693-3800
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1788307200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788307200000",
"number": "1114836699",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 QUARRY HILLS DR APT 1234",
"city": "QUINCY",
"state": "MA",
"postal_code": "021693825",
"telephone_number": "857-347-1289"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "495 WESTERN AVE",
"city": "BOSTON",
"state": "MA",
"postal_code": "021351007",
"telephone_number": "617-208-1656"
}
],
"practiceLocations": [
{
"address_1": "43 Foundry Ave",
"address_purpose": "LOCATION",
"city": "Waltham",
"state": "MA",
"postal_code": "024538313",
"country_code": "US",
"telephone_number": "781-693-3800",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MONTOYA DAVILA",
"first_name": "LUIS",
"middle_name": "GERARDO",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2026-09-02",
"last_updated": "2026-09-02",
"certification_date": "2026-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MA",
"license": "DL101844",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.