Organization Active NPI

West Covina Dental Care- in Care of Miguel Montes DDS

Doing business as Miguel Montes Inc.

  • General Practice Dentistry
  • West Covina, CA
National Provider Identifier
1245452903
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
14830 Issued in CA
Legal business name
WEST COVINA DENTAL CARE- IN CARE OF MIGUEL MONTES DDS
Doing business as
Miguel Montes Inc.
Practice address
2145 W Garvey Ave N
West Covina, CA 91790-2086
Phone
(626) 851-9227
Fax
(626) 851-1535
NPI assigned
May 3, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Maria D Estrada, OFFICE MANAGER
Title
Office Manager
Phone
(626) 851-9227

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 14830 CA Primary

Addresses

Primary practice location

2145 W Garvey Ave N
West Covina, CA 91790-2086

Mailing address

10154 Wystone Ave
Northridge, CA 91324-1247
Phone (626) 641-9765

Other identifiers 1

IdentifierTypeStateIssuer
G93700-01MedicaidCA

Other names 1

  • MIGUEL MONTES INC. Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1245452903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10154 WYSTONE AVE",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913241247",
            "telephone_number": "626-641-9765",
            "fax_number": "626-851-1535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2145 W GARVEY AVE N",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917902086",
            "telephone_number": "626-851-9227",
            "fax_number": "626-851-1535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST COVINA DENTAL CARE- IN CARE OF MIGUEL MONTES DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ESTRADA",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "626-851-9227",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "OFFICE MANAGER"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "14830",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "G93700-01",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MIGUEL MONTES INC.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in West Covina, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.