Organization Active NPI

Rebecca E Montgomery, D.D.S., P.C.

Doing business as Montgomery & Eaton Dental

  • Dentist
  • Schaumburg, IL
National Provider Identifier
1346741931
Registry record updated Feb 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
19-027067 Issued in IL
Legal business name
REBECCA E MONTGOMERY, D.D.S., P.C.
Doing business as
Montgomery & Eaton Dental
Practice address
1501 E. Woodfield Rd.
Suite 100E
Schaumburg, IL 60173
Phone
(847) 517-2800
Fax
(847) 517-8770
NPI assigned
Feb 28, 2018
Last updated
Feb 28, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2018

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

Authorized official

Name
Rebecca E Montgomery, D.D.S.NPI 1801009469
Title
Owner
Phone
(847) 517-2800

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 19-027067 IL Primary

Addresses

Primary practice location

1501 E. Woodfield Rd.
Suite 100E
Schaumburg, IL 60173

Mailing address

1501 E. Woodfield Rd.
Suite 100E
Schaumburg, IL 60173
Phone (847) 517-2800

Other names 1

  • Montgomery & Eaton Dental Doing business as

National Provider Directory

National Provider Directory

Locations

1501 E Woodfield Rd
Ste 100E
Schaumburg, IL 60173
Phone (847) 517-2800

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1519776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1519776000000",
    "number": "1346741931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 E. WOODFIELD RD.",
            "address_2": "SUITE 100E",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "60173",
            "telephone_number": "847-517-2800",
            "fax_number": "847-517-8770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 E. WOODFIELD RD.",
            "address_2": "SUITE 100E",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "60173",
            "telephone_number": "847-517-2800",
            "fax_number": "847-517-8770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REBECCA E MONTGOMERY, D.D.S., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-28",
        "last_updated": "2018-02-28",
        "status": "A",
        "authorized_official_last_name": "MONTGOMERY",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "847-517-2800",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "IL",
            "license": "19-027067",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Montgomery & Eaton Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Schaumburg, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2018; 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.