Organization Active NPI

Montoya Dental Corporation

Doing business as Montoya Family Dental

  • Dentist
  • Templeton, CA
National Provider Identifier
1205649837
Registry record updated Jan 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
MONTOYA DENTAL CORPORATION
Doing business as
Montoya Family Dental
Practice address
1105 Las Tablas Rd Ste C
Templeton, CA 93465-9731
Phone
(805) 466-6713
Fax
(805) 466-6340
NPI assigned
Jan 28, 2025
Last updated
Jan 28, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2025

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

Authorized official

Name
Edward Montoya, DMDNPI 1669661997
Title
Owner
Phone
(805) 466-6713

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X NU Primary
Customized Equipment (DME) 332BC3200X NU

Addresses

Primary practice location

1105 Las Tablas Rd Ste C
Templeton, CA 93465-9731

Mailing address

1105 Las Tablas Rd Ste C
Templeton, CA 93465-9731
Phone (805) 466-6713

Other names 1

  • Montoya Family Dental Doing business as

National Provider Directory

National Provider Directory

Locations

1105 Las Tablas Rd
Ste C
Templeton, CA 93465
Phone (805) 434-5434

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1738022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738022400000",
    "number": "1205649837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1105 LAS TABLAS RD STE C",
            "city": "TEMPLETON",
            "state": "CA",
            "postal_code": "934659731",
            "telephone_number": "805-466-6713",
            "fax_number": "805-466-6340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1105 LAS TABLAS RD STE C",
            "city": "TEMPLETON",
            "state": "CA",
            "postal_code": "934659731",
            "telephone_number": "805-466-6713",
            "fax_number": "805-466-6340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONTOYA DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-28",
        "last_updated": "2025-01-28",
        "certification_date": "2025-01-28",
        "status": "A",
        "authorized_official_last_name": "MONTOYA",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "805-466-6713",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Montoya Family Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Templeton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2025; 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.