Individual provider Active NPI

Dennis Clarence Montet, PT

  • Physical Therapist
  • Waukon, IA
National Provider Identifier
1497736359
Registry record updated May 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
278 Issued in IA
Practice address
1650 Allamakee St NW
Waukon, IA 52172-7825
Phone
(563) 568-2176
Fax
(563) 568-2184
NPI assigned
Nov 8, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 278 IA Primary
Physical Therapist 225100000X 3002 WI

Addresses

Primary practice location

1650 Allamakee St NW
Waukon, IA 52172-7825

Mailing address

PO Box 499
Waukon, IA 52172-0499
Phone (563) 568-2176

Other identifiers 2

IdentifierTypeStateIssuer
0180299MedicaidIA
28976OtherIAWELLMARK

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
00278IAMDMental Health Counselor
3002WIMDGeneral Practice Dentistry
278IAMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1131408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211414400000",
    "number": "1497736359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 499",
            "city": "WAUKON",
            "state": "IA",
            "postal_code": "521720499",
            "telephone_number": "563-568-2176",
            "fax_number": "563-568-2184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1650 ALLAMAKEE ST NW",
            "city": "WAUKON",
            "state": "IA",
            "postal_code": "521727825",
            "telephone_number": "563-568-2176",
            "fax_number": "563-568-2184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTET",
        "first_name": "DENNIS",
        "middle_name": "CLARENCE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-08",
        "last_updated": "2008-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IA",
            "license": "278",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "3002",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0180299",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK",
            "identifier": "28976",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Waukon, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2008; 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.