Marcos Antonio Montoya, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

019.028993 Issued in IL

Practice address

1560 Sherman Ave Ste 902
Evanston, IL 60201-4809

Phone

(847) 864-8151

NPI assigned

Jun 12, 2012

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

Practice roles

Locations

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.

• M & R Dental, PLLC

  • General Practice Dentistry
  • Evanston, IL
  • NPI 1558080283
  NPD
• Silva Dental Center LTD

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Cicero, IL
  • NPI 1326115981
  NPD (past)

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

{
    "created_epoch": "1339459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679011200000",
    "number": "1285996504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1560 SHERMAN AVE STE 902",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602014809",
            "telephone_number": "847-864-8151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1560 SHERMAN AVE STE 902",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602014809",
            "telephone_number": "847-864-8151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTOYA",
        "first_name": "MARCOS",
        "middle_name": "ANTONIO",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-06-12",
        "last_updated": "2023-03-17",
        "certification_date": "2023-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019.028993",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Treana Monroe
• Joseph Michael Montalbano, MD
• Karina Montalvo, LPC, ATR-P
• Martha Iris Montanez
• Carolyn R Montford, PSYD PC
• Tricia Moo-Young, M.D.
• Moonrise Therapy PLLC
• Andrew Hoyt Moore, MD
• Aron Moore
• Elena S. Moore, MD

• Dentist in Evanston, IL
• Providers in Evanston, IL by specialty
• Dentist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2023; 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.