Stephen J Montoya, DDS

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

7384 Issued in AZ

Practice address

2510 E Hunt Hwy
Ste. 29
Queen Creek, AZ 85243-5206

Phone

(480) 457-1693

Fax

(480) 457-1321

NPI assigned

Oct 24, 2007

Sex

Male

Sole proprietor

Yes

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)

Not enrolled

State licenses

Practice roles

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.

• Amarillo Super Smiles for Kids PLLC

  dba Super Smiles for Kids

  • Pediatric Dentistry
  • Amarillo, TX
  • NPI 1972378792
  NPD Authorized official
• Frankford Dental Group

  • General Practice Dentistry
  • Lubbock, TX
  • NPI 1518569003
  NPD Authorized official
• Texas Super Smiles for Kids LLC

  dba Super Smiles 4 Kids

  • Pediatric Dentistry
  • Plainview, TX
  • NPI 1023666328
  NPD Authorized official

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

{
    "created_epoch": "1193184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1227052800000",
    "number": "1407045636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2510 E HUNT HWY",
            "address_2": "STE. 29",
            "city": "QUEEN CREEK",
            "state": "AZ",
            "postal_code": "852435206",
            "telephone_number": "480-457-1693",
            "fax_number": "480-457-1321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2510 E HUNT HWY",
            "address_2": "STE. 29",
            "city": "QUEEN CREEK",
            "state": "AZ",
            "postal_code": "852435206",
            "telephone_number": "480-457-1693",
            "fax_number": "480-457-1321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTOYA",
        "first_name": "STEPHEN",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-10-24",
        "last_updated": "2008-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "AZ",
            "license": "7384",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1053788650",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Debra Mogler
• Lia Monteiro Barbosa
• Montelena Assisted Living and Memory Care, LLC
• Makenna Montgomery, FNP
• Montoya Pediatric Dentistry LLC Dba San Tan Pediatric Dental
• Charles Gregory Moore, RPH
• Rebekah Ann Moore
• Jessica Morales
• Ashley Morawski, MOT, OTR/L
• Linda Ann Morgan, SLPA

• Pediatric Dentistry in Queen Creek, AZ
• Providers in Queen Creek, AZ by specialty
• Pediatric Dentistry in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 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.