Larry Rewel Montgomery, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC2818 Issued in TX

Practice address

401 E 6TH Ave
Belton, TX 76513-2667

Phone

(254) 939-5801

Fax

(254) 939-2229

NPI assigned

Jul 20, 2005

Reactivated

Mar 27, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1121817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1222992000000",
    "number": "1376542365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 E 6TH AVE",
            "city": "BELTON",
            "state": "TX",
            "postal_code": "765132667",
            "telephone_number": "254-939-5801",
            "fax_number": "254-939-2229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 E 6TH AVE",
            "city": "BELTON",
            "state": "TX",
            "postal_code": "765132667",
            "telephone_number": "254-939-5801",
            "fax_number": "254-939-2229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTGOMERY",
        "first_name": "LARRY",
        "middle_name": "REWEL",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-20",
        "last_updated": "2008-10-03",
        "deactivation_date": "2006-03-20",
        "reactivation_date": "2006-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "DC2818",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "8G6130",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sheri Lynn Mitchell
• Sanjana Nimish Mody, PA
• Daniel Richard Moen, LMFT
• Sandra Robinson Moffett, OTR
• Montgomery Chiropractic, P.C.
• Micah Rewel Montgomery, DC
• Kyndall McKayla Moore
• Rebecca Morales, LPC-A
• Larry Ronald Morelock, CONTRACTOR
• Gina Marie Morrow, OTR, MS, C/NDT

• Chiropractor in Belton, TX
• Providers in Belton, TX by specialty
• Chiropractor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2008; 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.