Kathryn K Montgomery DDS LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

30022373 Issued in OH

Legal business name

KATHRYN K MONTGOMERY DDS LLC

Practice address

15580 US RT 36E
Marysville, OH 43040

Phone

(937) 642-1151

NPI assigned

Jan 18, 2011

Last updated

Jan 18, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Kathryn K Montgomery, DDSNPI 1770793069

Title

Owner

Phone

(937) 642-1151

Specialties & licenses 1

Addresses

Other identifiers 1

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.

• Kathryn Kalkreuth Montgomery, DDS

  • General Practice Dentistry
  • Marysville, OH
  • NPI 1770793069
  Authorized official Same address or phone

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

{
    "created_epoch": "1295308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1295308800000",
    "number": "1225333578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15580 US RT 36E",
            "city": "MARYSVILLE",
            "state": "OH",
            "postal_code": "43040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15580 US RT 36E",
            "city": "MARYSVILLE",
            "state": "OH",
            "postal_code": "43040",
            "telephone_number": "937-642-1151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KATHRYN K MONTGOMERY DDS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-18",
        "last_updated": "2011-01-18",
        "status": "A",
        "authorized_official_last_name": "MONTGOMERY",
        "authorized_official_first_name": "KATHRYN",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "937-642-1151",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "30022373",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI INDIVIDUAL",
            "identifier": "1770793069",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kelly Judge, LSW
• Megan Jusseaume, DDS
• Robyn Lynn Kaetzel, LPN
• Kare Medical Transport Services LTD
• Roopa Kartan, MD
• Victoria L Kauser
• Lisa Marie Roshetsky Kearns, M.D.
• Nicolette Ann Keeton, LISW
• Megan Keighley
• Callie Kelbley, RPH, PHARMD

• General Practice Dentistry in Marysville, OH
• Providers in Marysville, OH by specialty
• General Practice Dentistry in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2011; 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.