Active NPI
Dane Montague
- General Practice Dentistry
- Grants Pass, OR
National Provider Identifier
1366132045
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- D12366
- Practice address
- 1100 NE E St
Grants Pass, OR 97526-2369 - Phone
- (541) 479-5505
- NPI assigned
- May 8, 2023
- 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | D12366 | OR | Primary |
Addresses
Primary practice location
1100 NE E St
Grants Pass, OR 97526-2369
Mailing address
606 NE Dean Dr
Grants Pass, OR 97526-2233
Phone (435) 841-9482
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1683504000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782432000000",
"number": "1366132045",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "606 NE DEAN DR",
"city": "GRANTS PASS",
"state": "OR",
"postal_code": "975262233",
"telephone_number": "435-841-9482"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1100 NE E ST",
"city": "GRANTS PASS",
"state": "OR",
"postal_code": "975262369",
"telephone_number": "541-479-5505"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MONTAGUE",
"first_name": "DANE",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-05-08",
"last_updated": "2026-06-26",
"certification_date": "2026-06-26",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "OR",
"license": "D12366",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Grants Pass, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.