Michael Christopher Montgomery, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

29383 Issued in CA

Practice address

8055 W Manchester Ave
Suite 500
Playa del Rey, CA 90293-7960

Phone

(310) 821-0992

Fax

(310) 821-9027

NPI assigned

Oct 2, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Michael Montgomey

  • General Practice Dentistry
  • Playa del Rey, CA
  • NPI 1134648249
  NPD (past) Authorized official
• Michael Montgomey

  • Dentist
  • Playa del Rey, CA
  • NPI 1073965216
  NPD (past)

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

{
    "created_epoch": "1128211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1297728000000",
    "number": "1235126533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8055 W MANCHESTER AVE",
            "address_2": "SUITE 500",
            "city": "PLAYA DEL REY",
            "state": "CA",
            "postal_code": "902937965",
            "telephone_number": "310-821-0992",
            "fax_number": "310-821-9027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8055 W MANCHESTER AVE",
            "address_2": "SUITE 500",
            "city": "PLAYA DEL REY",
            "state": "CA",
            "postal_code": "902937960",
            "telephone_number": "310-821-0992",
            "fax_number": "310-821-9027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTGOMERY",
        "first_name": "MICHAEL",
        "middle_name": "CHRISTOPHER",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-02",
        "last_updated": "2011-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "29383",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David A McCall, RCP
• Michael Montgomey
• Michael Montgomey
• Jamie Miller, MA, PHD
• Mark J Mitchell
• Andrea Moore, LMFT
• La Toya Chante Morris, D.D.S.
• Myra Consortium
• Kailie Nicole Kaleikaumaka Nakamoto, FNP-C
• Kenneth Kenji Nakamura, D.D.S.

• Dentist in Playa del Rey, CA
• Providers in Playa del Rey, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.