Individual provider Active NPI

David Montgomery Curtis, D.D.S.

  • Oral and Maxillofacial Surgery (Dentist)
  • Plymouth, MN
National Provider Identifier
1265402531
Registry record updated Apr 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
10007 Issued in MN
Practice address
2855 Campus Dr
Ste 670
Plymouth, MN 55441-2649
Phone
(763) 520-1234
Fax
(763) 520-1233
NPI assigned
Jan 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 10007 MN Primary

Addresses

Primary practice location

2855 Campus Dr
Ste 670
Plymouth, MN 55441-2649

Mailing address

2855 Campus Dr
Ste 670
Plymouth, MN 55441-2649
Phone (763) 520-1234

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050519000483 MN Practitioner - Maxillofacial SurgeryPractitioner - Oral Surgery 0749221869 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Maxillofacial SurgeryAlso: Oral Surgery
Education
University of Minnesota School of Dentistry, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Associates in Oral and Maxillofacial Surgery, P.a.Group PAC ID 7416988209, 3 clinicians

Practice addresses (Care Compare)

1990 Premier Dr
Mankato, MN 56001-5900
Phone (507) 625-9330

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10007MNMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Associates in Oral and Maxillofacial Surgery, P.a. Oral and Maxillofacial Surgery CurrentSince Feb 11, 2013 Accepting new patients
Metropolitan Oral and Maxillofacial Surgeons PA Oral and Maxillofacial Surgery Past Accepting new patients
Minnesota Oral & Maxillofacial Surgery, P.a. Oral and Maxillofacial Surgery Past Accepting new patients

Locations

1990 Premier Dr
Mankato, MN 56001
Phone (507) 625-9330

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1138233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208908800000",
    "number": "1265402531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2855 CAMPUS DR",
            "address_2": "STE 670",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "554412649",
            "telephone_number": "763-520-1234",
            "fax_number": "763-520-1233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2855 CAMPUS DR",
            "address_2": "STE 670",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "554412649",
            "telephone_number": "763-520-1234",
            "fax_number": "763-520-1233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CURTIS",
        "first_name": "DAVID",
        "middle_name": "MONTGOMERY",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-26",
        "last_updated": "2008-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "MN",
            "license": "10007",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plymouth, MN

Sources for this page

Verify at the official NPI Registry.