Individual provider Active NPI

Jose Montero, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Miami, FL
National Provider Identifier
1356609226
Registry record updated Nov 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
DN23226 Issued in FL
Practice address
8940 N Kendall Dr Ste 604E
Miami, FL 33176-2175
Phone
(305) 595-1905
Fax
(305) 595-2219
NPI assigned
Apr 30, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 14, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Oral & Maxillofacial Surgery (D.M.D.) 204E00000X DN23226 FL
Oral and Maxillofacial Surgery (Dentist) 1223S0112X DN23226 FL Primary

Addresses

Primary practice location

8940 N Kendall Dr Ste 604E
Miami, FL 33176-2175

Mailing address

8940 N Kendall Dr Ste 604E
Miami, FL 33176-2175
Phone (305) 595-1905

Other practice location 1

1400 NW 12th Ave Ste 2005
Miami, FL 33136-1003
Phone (305) 689-6725

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20190123002160 FL Practitioner - Oral Surgery 9931446325 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Oral Surgery
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University of MiamiGroup PAC ID 3274795109, 2,346 clinicians
Jose Montero DDS PAGroup PAC ID 5294072781, 2 clinicians

Practice addresses (Care Compare)

1400 NW 12TH Ave
5TH Floor/Micu
Miami, FL 33136-1003
Phone (305) 243-5470

8900 N Kendall Dr
Miami, FL 33176-2118
Phone (305) 596-1960

8940 N Kendall Dr
Suite 604E
Miami, FL 33176-2175
Phone (305) 595-1905

Hospital & facility affiliations

  • Baptist Hospital of Miami Hospital, Miami, FL, CCN 100008

Merit-based Incentive Payment System (MIPS)

Final score
87.93 of 100Reported as group
Quality
78.79
Promoting interoperability
100
Improvement activities
40
Cost
71.44

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
University of Miami CurrentSince Jan 1, 2022 Accepting new patients
University of Miami Oral and Maxillofacial Surgery CurrentSince Jan 1, 2022 Accepting new patients
Jose Montero DDS PA Oral and Maxillofacial Surgery CurrentSince May 23, 2018 Accepting new patients
University of Miami Current Accepting new patients

Locations

8940 N Kendall Dr
Ste 604E
Miami, FL 33176
Phone (305) 595-1905

1611 NW 12th Ave
Miami, FL 33136
Phone (305) 585-6226

1400 NW 12th Ave
Ste 2005
Miami, FL 33136
Phone (305) 243-1960

1400 NW 12th Ave
Miami, FL 33136
Phone (305) 325-5416

Organizations & group practices 4

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1335744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668384000000",
    "number": "1356609226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8940 N KENDALL DR STE 604E",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331762175",
            "telephone_number": "305-595-1905",
            "fax_number": "305-595-2219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8940 N KENDALL DR STE 604E",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331762175",
            "telephone_number": "305-595-1905",
            "fax_number": "305-595-2219"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1400 NW 12th Ave Ste 2005",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331361003",
            "country_code": "US",
            "telephone_number": "305-689-6725",
            "fax_number": "305-689-1133",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MONTERO",
        "first_name": "JOSE",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-04-30",
        "last_updated": "2022-11-14",
        "certification_date": "2022-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "FL",
            "license": "DN23226",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "FL",
            "license": "DN23226",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.