Heath Michael Montgomery, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

52435 Issued in CA

Practice address

14 W Valerio St
Ste C
Santa Barbara, CA 93101-2553

Phone

(805) 845-3240

Fax

(805) 845-3244

NPI assigned

May 8, 2007

Last updated

Jul 6, 2009By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in CA

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1178582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1246838400000",
    "number": "1417160136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 W VALERIO ST",
            "address_2": "STE C",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931012553",
            "telephone_number": "805-845-3240",
            "fax_number": "805-845-3244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 W VALERIO ST",
            "address_2": "STE C",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931012553",
            "telephone_number": "805-845-3240",
            "fax_number": "805-845-3244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTGOMERY",
        "first_name": "HEATH",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-08",
        "last_updated": "2009-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "52435",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Montecito Geriatric Medical Group Inc
• Montecito Retirement Association (Casa Dorinda)
• Montecito RX (San Ysidro Pharmacy)
• Montecito RX (San Ysidro Pharmacy)
• Montecito Surgery Center
• Ashley M Montoya, LCSW
• F Jillian Moon, RPT.CHT
• Monique Isabel Moon
• Andrea Moore McCormick, LAADC, LMFT
• Moore on Health

• General Practice Dentistry in Santa Barbara, CA
• Providers in Santa Barbara, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.