Organization Active NPI

Gary V. Monteith DDS PA

  • General Practice Dentistry
  • King, NC
National Provider Identifier
1487710794
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
4378 Issued in NC
Legal business name
GARY V. MONTEITH DDS PA
Practice address
626 Kirby Road
King, NC 27021-1047
Phone
(336) 983-4565
NPI assigned
Dec 29, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Gary Monteith, DDSNPI 1932132396
Title
President
Phone
(336) 983-4565

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
General Practice Dentistry 1223G0001X 4378 NC Primary

Addresses

Primary practice location

626 Kirby Road
King, NC 27021-1047

Mailing address

PO Box 1047
626 Kirby Road
King, NC 27021-1047
Phone (336) 983-4565

Other identifiers 1

IdentifierTypeStateIssuer
1932132396OtherNCNPI

National Provider Directory

National Provider Directory

Locations

626 Kirby Rd
King, NC 27021
Phone (336) 983-4565

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1167350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1487710794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1047",
            "address_2": "626 KIRBY ROAD",
            "city": "KING",
            "state": "NC",
            "postal_code": "270211047",
            "telephone_number": "336-983-4565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "626 KIRBY ROAD",
            "city": "KING",
            "state": "NC",
            "postal_code": "270211047",
            "telephone_number": "336-983-4565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARY V. MONTEITH DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MONTEITH",
        "authorized_official_first_name": "GARY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "336-983-4565",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "4378",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1932132396",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in King, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.