Active NPI
Jeffrey Scott Montgomery, D.D.S.
- Dentist
- Mission Viejo, CA
National Provider Identifier
1154538403
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 41116
- Practice address
- 26800 Crown Valley Parkway
Suite 405
Mission Viejo, CA 92691 - Phone
- (949) 347-0807
- NPI assigned
- May 17, 2007
- Sex
- Male
- Sole proprietor
- No
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 | 41116 | CA | Primary |
Addresses
Primary practice location
26800 Crown Valley Parkway
Suite 405
Mission Viejo, CA 92691
Mailing address
26041 Horseshoe Cir
Laguna Hills, CA 92653-6148
Phone (949) 831-0329
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
| License | State | Type | Specialty |
|---|---|---|---|
| 41116 | CA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179360000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1154538403",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "26041 HORSESHOE CIR",
"city": "LAGUNA HILLS",
"state": "CA",
"postal_code": "926536148",
"telephone_number": "949-831-0329"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "26800 CROWN VALLEY PARKWAY",
"address_2": "SUITE 405",
"city": "MISSION VIEJO",
"state": "CA",
"postal_code": "92691",
"telephone_number": "949-347-0807"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MONTGOMERY",
"first_name": "JEFFREY",
"middle_name": "SCOTT",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-17",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "41116",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mission Viejo, CA
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.