Active NPI
Dakota Montgomery, D.C., C.E.S.
- Chiropractor
- Redding, CA
National Provider Identifier
1407157241
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 31642
- Practice address
- 2335 Athens Ave
Redding, CA 96001-2818 - Phone
- (530) 247-4228
- Fax
- (530) 247-4275
- NPI assigned
- Nov 10, 2010
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 31642 | CA | Primary |
Addresses
Primary practice location
2335 Athens Ave
Redding, CA 96001-2818
Mailing address
2335 Athens Ave
Redding, CA 96001-2818
Phone (530) 247-4228
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 31642 | CA | MD | Neonatal/Pediatric Registered Respiratory Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shasta Community Health Center | Current | Accepting new patients | |
| Shasta Community Health Center | Current | Accepting new patients | |
| Shasta Community Health Center | Current | Accepting new patients |
Locations
2965 East St
Anderson, CA 96007
Phone (530) 365-3147
1035 Placer St
Redding, CA 96001
Interoperability endpoints
- dakota.montgomerydc.p1@direct.schc.nextgenshare.com
Organizations & group practices 3
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.
-
- Federally Qualified Health Center (FQHC)
- Redding, CA
- NPI 1114533171
-
- Federally Qualified Health Center (FQHC)
- Redding, CA
- NPI 1356815542
-
- Federally Qualified Health Center (FQHC)
- Redding, CA
- NPI 1710450929
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1289347200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1440720000000",
"number": "1407157241",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2335 ATHENS AVE",
"city": "REDDING",
"state": "CA",
"postal_code": "960012818",
"telephone_number": "530-247-4228",
"fax_number": "530-247-4275"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2335 ATHENS AVE",
"city": "REDDING",
"state": "CA",
"postal_code": "960012818",
"telephone_number": "530-247-4228",
"fax_number": "530-247-4275"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MONTGOMERY",
"first_name": "DAKOTA",
"name_prefix": "Dr.",
"credential": "D.C., C.E.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-11-10",
"last_updated": "2015-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "31642",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Redding, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.