Monica Marie Montgomery, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

38557 Issued in TX

Practice address

101 W Creek St
Fredericksburg, TX 78624-3730

Phone

(830) 990-1178

NPI assigned

Jun 22, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Ericka T McBrine DDS PA

  • Dentist
  • Fredericksburg, TX
  • NPI 1861881120
  NPD (past)
• Fred Grimes,D.D.S., Inc

  • Dentist
  • Fredericksburg, TX
  • NPI 1487925848
  NPD (past)

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

{
    "created_epoch": "1655856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655856000000",
    "number": "1538890397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 PERSIMMON CT",
            "city": "FREDERICKSBURG",
            "state": "TX",
            "postal_code": "786242530",
            "telephone_number": "210-483-3589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 W CREEK ST",
            "city": "FREDERICKSBURG",
            "state": "TX",
            "postal_code": "786243730",
            "telephone_number": "830-990-1178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTGOMERY",
        "first_name": "MONICA",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-22",
        "last_updated": "2022-06-22",
        "certification_date": "2022-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "38557",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erin Mills, PHARMD
• Frank Thomas Mills, PT.
• Lauren Youngblood Milvenan, DDS
• Desiree Lynne Misanko, M.A., PSY.D.
• Michele Lord Moldenhauer, PHARMD
• Jenny Rebecca Moores, L.P.C.
• Charles Ray Morgan Jr., LCSW
• MSP RX LLC
• Kelly Jean Muirhead-Arledge, P.T.
• Rand Evans Murphey, CNP

• General Practice Dentistry in Fredericksburg, TX
• Providers in Fredericksburg, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2022; 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.