Active NPI
John Robert Montague, DC
- Chiropractor
- Berlin, CT
National Provider Identifier
1316064645
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 000387
- Practice address
- 3 Webster Square Rd
Berlin, CT 06037-2326 - Phone
- (860) 828-5503
- Fax
- (860) 828-4198
- NPI assigned
- Mar 23, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 000387 | CT | Primary |
Addresses
Primary practice location
3 Webster Square Rd
Berlin, CT 06037-2326
Mailing address
3 Webster Square Rd
Berlin, CT 06037-2326
Phone (860) 828-5503
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000387 | CT | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chiropractic Care Center of Berlin LLC | Chiropractor | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Chiropractor
- Berlin, CT
- NPI 1215194642
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174608000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1316064645",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3 WEBSTER SQUARE RD",
"city": "BERLIN",
"state": "CT",
"postal_code": "060372326",
"telephone_number": "860-828-5503",
"fax_number": "860-828-4198"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3 WEBSTER SQUARE RD",
"city": "BERLIN",
"state": "CT",
"postal_code": "060372326",
"telephone_number": "860-828-5503",
"fax_number": "860-828-4198"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MONTAGUE",
"first_name": "JOHN",
"middle_name": "ROBERT",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-23",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CT",
"license": "000387",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Berlin, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.