Individual provider Active NPI

Dakota Montgomery, D.C., C.E.S.

  • Chiropractor
  • Redding, CA
National Provider Identifier
1407157241
Registry record updated Aug 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
31642 Issued in CA
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

Updated by the provider on Aug 28, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
I20120207000283 CA Practitioner - Chiropractic 8022275833 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
31642CAMDNeonatal/Pediatric Registered Respiratory Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Shasta Community Health Center CurrentSince Mar 26, 2025 Accepting new patients
Shasta Community Health Center Current Accepting new patients
Shasta Community Health Center CurrentSince Mar 26, 2025 Accepting new patients

Locations

2965 East St
Anderson, CA 96007
Phone (530) 365-3147

1035 Placer St
Redding, CA 96001

Interoperability endpoints

  • Direct secure messaging: 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.

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.

Verify at the official NPI Registry.