Individual provider Active NPI

R. Gregory Montgomery, DDS

  • General Practice Dentistry
  • Mount Morris, PA
National Provider Identifier
1376674218
Registry record updated Feb 8, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DS-026391-L Issued in PA
Practice address
120 Locust Avenue Extention
Mount Morris, PA 15349
Phone
(724) 324-9001
NPI assigned
Mar 9, 2007
Last updated
Feb 8, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DS-026391-L PA Primary

Addresses

Primary practice location

120 Locust Avenue Extention
Mount Morris, PA 15349

Mailing address

120 Locust Ave Ext
Mount Morris, PA 15349-1355
Phone (724) 324-9001

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20150923000280 PA Practitioner - Oral Surgery 3577879469 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DS-026391-LPAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Cornerstone Care Inc CurrentSince Jul 21, 2015 Accepting new patients
Cornerstone Care, Inc. CurrentSince Jul 21, 2015 Accepting new patients
Cornerstone Care Inc. Past Accepting new patients
Cornerstone Care Inc. Past Accepting new patients
Cornerstone Care Inc. Past Accepting new patients
Cornerstone Care Inc Past Accepting new patients
Cornerstone Care Inc. Past Accepting new patients
Cornerstone Care Inc Past Accepting new patients
Cornerstone Care Inc. Past Accepting new patients

Locations

1227 Smith Township State Rd
Burgettstown, PA 15021
Phone (724) 947-2251

7 Glassworks Rd
Greensboro, PA 15338
Phone (724) 943-3308

120 Locust Ave Ext
Mt Morris, PA 15349
Phone (724) 324-2982

140 N Beeson Ave
Ste 400
Uniontown, PA 15401
Phone (724) 439-8170

351 W Beau St
Ste 301
Washington, PA 15301
Phone (724) 228-7400

501 W High St
Waynesburg, PA 15370
Phone (724) 627-4309

500 N Lewis Run Rd
Ste 128
West Mifflin, PA 15122
Phone (412) 228-3366

Interoperability endpoints

  • Direct secure messaging: rgregory.montgomery.p12@direct.cornerstonecare.nextgenshare.com

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1173398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1328659200000",
    "number": "1376674218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 LOCUST AVE EXT",
            "city": "MOUNT MORRIS",
            "state": "PA",
            "postal_code": "153491355",
            "telephone_number": "724-324-9001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 LOCUST AVENUE EXTENTION",
            "city": "MOUNT MORRIS",
            "state": "PA",
            "postal_code": "15349",
            "telephone_number": "724-324-9001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTGOMERY",
        "first_name": "R.",
        "middle_name": "GREGORY",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-09",
        "last_updated": "2012-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS-026391-L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Morris, PA

Sources for this page

Verify at the official NPI Registry.