Individual provider Active NPI

Marcus Martin Montalvo, DDS

  • General Practice Dentistry
  • Harlingen, TX
National Provider Identifier
1578056909
Registry record updated Jun 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
34231 Issued in TX
Practice address
321 S 13TH St # 101
Harlingen, TX 78550-7117
Phone
(956) 428-5300
NPI assigned
Jun 11, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 34231 TX Primary

Addresses

Primary practice location

321 S 13TH St # 101
Harlingen, TX 78550-7117

Mailing address

267 N Fannin St
San Benito, TX 78586-4523
Phone (956) 357-1132

Other practice location 1

618 N Ed Carey Dr
Harlingen, TX 78550-7912
Phone (956) 440-0222

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
34231TXMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Montalvo Dental PLLC CurrentSince Feb 25, 2024 Accepting new patients
Sabal Dental Harlingen PLLC General Practice PastSince Dec 29, 2019 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.

NPI Registry JSON

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

{
    "created_epoch": "1528675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528675200000",
    "number": "1578056909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "267 N FANNIN ST",
            "city": "SAN BENITO",
            "state": "TX",
            "postal_code": "785864523",
            "telephone_number": "956-357-1132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 S 13TH ST # 101",
            "city": "HARLINGEN",
            "state": "TX",
            "postal_code": "785507117",
            "telephone_number": "956-428-5300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "618 N Ed Carey Dr",
            "address_purpose": "LOCATION",
            "city": "Harlingen",
            "state": "TX",
            "postal_code": "785507912",
            "country_code": "US",
            "telephone_number": "956-440-0222",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MONTALVO",
        "first_name": "MARCUS",
        "middle_name": "MARTIN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-06-11",
        "last_updated": "2018-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "34231",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harlingen, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2018; 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.