Active NPI
Chelsea Ann Montgomery, EPDH
- Dental Hygienist
- Salem, OR
National Provider Identifier
1497312458
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- H4992
- 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
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 |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| H4992 | OR | MD | Dental Hygienist |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Dental Clinic/Center
- Salem, OR
- NPI 1023286580
-
- Dental Clinic/Center
- Salem, OR
- NPI 1255889333
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.