Individual provider Active NPI

Katrina Montane

  • Dentist
  • Burlington, MA
National Provider Identifier
1346005923
Registry record updated Jul 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN10000760 Issued in MA
Practice address
74 Burlington Mall Rd
Burlington, MA 01803-4518
Phone
(781) 333-5531
NPI assigned
Feb 14, 2024
Last updated
Jul 21, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DN10000760 MA Primary

Addresses

Primary practice location

74 Burlington Mall Rd
Burlington, MA 01803-4518

Mailing address

74 Burlington Mall Rd
Burlington, MA 01803-4518

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250911000307 MA Order and Referring Only - DentistPractitioner - Dentist 4082117643

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DN10000760MAMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1707868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753056000000",
    "number": "1346005923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "74 BURLINGTON MALL RD",
            "city": "BURLINGTON",
            "state": "MA",
            "postal_code": "018034518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "74 BURLINGTON MALL RD",
            "city": "BURLINGTON",
            "state": "MA",
            "postal_code": "018034518",
            "telephone_number": "781-333-5531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTANE",
        "first_name": "KATRINA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-02-14",
        "last_updated": "2025-07-21",
        "certification_date": "2025-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MA",
            "license": "DN10000760",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burlington, MA

Sources for this page

Verify at the official NPI Registry.