Individual provider Active NPI

Chelsea Ann Montgomery, EPDH

  • Dental Hygienist
  • Salem, OR
National Provider Identifier
1497312458
Registry record updated May 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental HygienistTaxonomy code 124Q00000X
License
H4992 Issued in OR
Practice address
1251 Lancaster Dr NE Ste a
Salem, OR 97301-1994
Phone
(503) 391-2219
Fax
(503) 391-4239
NPI assigned
May 24, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 24, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Hygienist 124Q00000X H4992 OR Primary

Addresses

Primary practice location

1251 Lancaster Dr NE Ste a
Salem, OR 97301-1994

Mailing address

961 Windemere Dr NW
Salem, OR 97304-2721
Phone (503) 999-6213

Other practice location 1

3000 Market St NE Ste 228
Salem, OR 97301-1803
Phone (503) 587-7162

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
H4992ORMDDental Hygienist

Practice roles

OrganizationSpecialtyStatusNew patients
Capitol Dental Group Past Accepting new patients
Capitol Dental Care, Inc. Past Accepting new patients

Organizations & group practices 2

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": "1558656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558656000000",
    "number": "1497312458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "961 WINDEMERE DR NW",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973042721",
            "telephone_number": "503-999-6213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1251 LANCASTER DR NE STE A",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973011994",
            "telephone_number": "503-391-2219",
            "fax_number": "503-391-4239"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3000 Market St NE Ste 228",
            "address_purpose": "LOCATION",
            "city": "Salem",
            "state": "OR",
            "postal_code": "973011803",
            "country_code": "US",
            "telephone_number": "503-587-7162",
            "fax_number": "503-581-0043",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MONTGOMERY",
        "first_name": "CHELSEA",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "EPDH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-24",
        "last_updated": "2019-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "OR",
            "license": "H4992",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salem, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2019; 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.