NPIMap

Organization Active NPI

Charles E. Montoure, DDS, Ms Mark H Hanson, DDS, Ms, SC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Green Bay, WI
National Provider Identifier
1194926527
Registry record updated Jul 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
Legal business name
CHARLES E. MONTOURE, DDS, MS MARK H HANSON, DDS, MS, SC
Practice address
2000 Shady Lane
Green Bay, WI 54313-9311
Phone
(920) 499-3721
Fax
(920) 499-7502
NPI assigned
May 31, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2008

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

Authorized official

Name
Charles E Montoure, DDS MSNPI 1083817845
Title
President of Corp
Phone
(920) 499-3721

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X Primary

Addresses

Primary practice location

2000 Shady Lane
Green Bay, WI 54313-9311

Mailing address

2000 Shady Lane
Green Bay, WI 54313-9311
Phone (920) 499-3721

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1180569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216944000000",
    "number": "1194926527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 SHADY LANE",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543139311",
            "telephone_number": "920-499-3721",
            "fax_number": "920-499-7502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 SHADY LANE",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543139311",
            "telephone_number": "920-499-3721",
            "fax_number": "920-499-7502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLES E. MONTOURE, DDS, MS MARK H HANSON, DDS, MS, SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-31",
        "last_updated": "2008-07-25",
        "status": "A",
        "authorized_official_last_name": "MONTOURE",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT OF CORP",
        "authorized_official_telephone_number": "920-499-3721",
        "authorized_official_credential": "DDS MS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Green Bay, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2008; 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.