Jon Lincoln Montague, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

23940 Issued in CA

Practice address

501 N El Camino Real
200
Encinitas, CA 92024-1335

Phone

(760) 436-2452

NPI assigned

May 17, 2007

Sex

Male

Sole proprietor

No

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

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.

• La Costa Dental Group

  • General Practice Dentistry
  • Encinitas, CA
  • NPI 1760556716
  NPD (past)
• Omer M Anisso DDS Inc

  • Dentist
  • Encinitas, CA
  • NPI 1952714149
  NPD (past)

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

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1326256165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 N EL CAMINO REAL",
            "address_2": "200",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920241335",
            "telephone_number": "760-436-2452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 N EL CAMINO REAL",
            "address_2": "200",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920241335",
            "telephone_number": "760-436-2452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTAGUE",
        "first_name": "JON",
        "middle_name": "LINCOLN",
        "name_prefix": "Mr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "23940",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tammy Elizabeth Mondry, DPT, MSRS, CLT-LANA
• Monica Kieffer, D.O., Inc.
• Monica Perlman MD Inc.
• Monica Perlman MD Inc.
• Theresa Marie Monsalud
• Kiara Sherrie Montemayor, BA
• La Shel Nikole Montgomery, CNM
• Gregory P Montoya, MD
• Diane Loie Moore, LCSW, MSW, ACSW
• Rebecca Moore, RN., CDE

• General Practice Dentistry in Encinitas, CA
• Providers in Encinitas, CA by specialty
• General Practice Dentistry in California

• 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.

Verify at the official NPI Registry.