Organization Active NPI

John Montoya DDS PC

Doing business as Boulder Dental Designs

  • Dentist
  • Boulder, CO
National Provider Identifier
1396109435
Registry record updated Apr 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
9350 Issued in CO
Legal business name
JOHN MONTOYA DDS PC
Doing business as
Boulder Dental Designs
Practice address
4770 Baseline Rd
Suite 310
Boulder, CO 80303-2666
Phone
(303) 443-1895
Fax
(303) 442-2765
NPI assigned
Apr 5, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2016

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

Authorized official

Name
Dr. John Montoya, DDSNPI 1942458328
Title
Dentist/Owner
Phone
(303) 443-1895

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 9350 CO Primary

Addresses

Primary practice location

4770 Baseline Rd
Suite 310
Boulder, CO 80303-2666

Mailing address

4770 Baseline Rd
Suite 310
Boulder, CO 80303-2666
Phone (303) 443-1895

Other identifiers 1

IdentifierTypeStateIssuer
1942458328OtherCOINDIVIDUAL NPI NUMBER

Other names 1

  • Boulder Dental Designs Doing business as

National Provider Directory

National Provider Directory

Locations

2500 30th St
Ste 120
Boulder, CO 80301
Phone (303) 443-1895

4770 Baseline Rd
Ste 310
Boulder, CO 80303
Phone (303) 443-1895

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1459814400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459814400000",
    "number": "1396109435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4770 BASELINE RD",
            "address_2": "SUITE 310",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803032666",
            "telephone_number": "303-443-1895",
            "fax_number": "303-442-2765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4770 BASELINE RD",
            "address_2": "SUITE 310",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803032666",
            "telephone_number": "303-443-1895",
            "fax_number": "303-442-2765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN MONTOYA DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-05",
        "last_updated": "2016-04-05",
        "status": "A",
        "authorized_official_last_name": "MONTOYA",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "303-443-1895",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CO",
            "license": "9350",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI NUMBER",
            "identifier": "1942458328",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Boulder Dental Designs",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Boulder, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2016; 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.