Mark Andrew Montgomery, L. AC.

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AC169483 Issued in OR

Practice address

244 NE Franklin Ave Ste 1
Bend, OR 97701-4960

Phone

(541) 322-9642

NPI assigned

Jan 4, 2024

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1704326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704326400000",
    "number": "1235909888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1192 MCCLELLAN LN",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977023485",
            "telephone_number": "541-322-9642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "244 NE FRANKLIN AVE STE 1",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977014960",
            "telephone_number": "541-322-9642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTGOMERY",
        "first_name": "MARK",
        "middle_name": "ANDREW",
        "credential": "L. AC.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-01-04",
        "last_updated": "2024-01-04",
        "certification_date": "2024-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "OR",
            "license": "AC169483",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anthony J Monteverdi, MD
• Brandon Montgomery, RPH
• Christine NMN Montgomery
• Courtney Paige Montgomery
• Jennifier Lynn Montgomery, DMD
• Angelina Montoya, M.D.
• Breanna J. Montoya, MA
• Daniel Montoya, PA-C
• Isaac A Montoya
• Elizabeth Wertz Montserat, MSW, LCSW

• Acupuncturist in Bend, OR
• Providers in Bend, OR by specialty
• Acupuncturist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2024; 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.