Individual provider Active NPI

Nancy Montgomery, D.M.D

  • Pediatric Dentistry
  • Largo, FL
National Provider Identifier
1538200282
Registry record updated Sep 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
DN12365 Issued in FL
Practice address
4020 Portsmouth Rd
Largo, FL 33771-3318
Phone
(727) 335-2500
Fax
(727) 335-2400
NPI assigned
Feb 8, 2007
Last updated
Sep 19, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 19, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X DN12365 FL Primary

Addresses

Primary practice location

4020 Portsmouth Rd
Largo, FL 33771-3318

Mailing address

4020 Portsmouth Rd
Largo, FL 33771-3318
Phone (727) 335-2500

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
DN12365FLMDPediatric Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Pinellas Pediatric Dentistry Pediatric Dentistry CurrentSince Sep 21, 2025 Accepting new patients

Locations

4020 Portsmouth Rd
Largo, FL 33771
Phone (727) 335-2500

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758240000000",
    "number": "1538200282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4020 PORTSMOUTH RD",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337713318",
            "telephone_number": "727-335-2500",
            "fax_number": "727-335-2400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4020 PORTSMOUTH RD",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337713318",
            "telephone_number": "727-335-2500",
            "fax_number": "727-335-2400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTGOMERY",
        "first_name": "NANCY",
        "credential": "D.M.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-08",
        "last_updated": "2025-09-19",
        "certification_date": "2025-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "FL",
            "license": "DN12365",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Largo, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2025; 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.