John B Montgomery, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

12219 Issued in TX

Practice address

3910 Gaston Ave Ste 175
Dallas, TX 75246-1504

Phone

(214) 257-1082

Fax

(214) 823-2326

NPI assigned

May 3, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480464000000",
    "number": "1568684736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1168",
            "city": "ANNISTON",
            "state": "AL",
            "postal_code": "362021168",
            "telephone_number": "256-741-7340",
            "fax_number": "256-741-7373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3910 GASTON AVE STE 175",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752461504",
            "telephone_number": "214-257-1082",
            "fax_number": "214-823-2326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTGOMERY",
        "first_name": "JOHN",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-03",
        "last_updated": "2016-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "12219",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "120805003",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHIP NUMBER",
            "identifier": "12219",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Chasidy Montgomery
• Dava Montgomery
• Emily N Montgomery, PT, DPT
• Eric Y Montgomery
• James B Montgomery, M.D.
• Kaitlyn Montgomery
• Keundra Rakel Montgomery
• Lisa S Montgomery, M.ED.
• Madison Gail Montgomery, PA-C
• Maureen O'Bryan Montgomery, MD

• General Practice Dentistry in Dallas, TX
• Providers in Dallas, 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 Nov 30, 2016; 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.