Active NPI
Nicole Sivie Montgomery, DDS
- General Practice Dentistry
- Plano, TX
National Provider Identifier
1588787139
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 19329
- Practice address
- 5800 Coit Rd.
Suite 800
Plano, TX 75023-5944 - Phone
- (972) 596-9697
- Fax
- (972) 867-4796
- NPI assigned
- Apr 9, 2007
- Last updated
- Dec 11, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 19329 | TX | Primary |
Addresses
Primary practice location
5800 Coit Rd.
Suite 800
Plano, TX 75023-5944
Mailing address
5800 Coit Rd.
Suite 800
Plano, TX 75023-5944
Phone (972) 596-9697
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 85D562 | Other | TX | FEDERAL BLUE CROSS |
| 902701 | Other | TX | UNITED CONCORDIA |
Other names 1
- Miss Nicole Leigh Sivie
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
| License | State | Type | Specialty |
|---|---|---|---|
| 19329 | TX | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Williams and Sivie DDS LLP | General Practice | Past | Accepting new patients |
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.
-
- General Practice Dentistry
- Plano, TX
- NPI 1619028628
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176076800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1197331200000",
"number": "1588787139",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5800 COIT RD.",
"address_2": "SUITE 800",
"city": "PLANO",
"state": "TX",
"postal_code": "750235944",
"telephone_number": "972-596-9697",
"fax_number": "972-867-4796"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5800 COIT RD.",
"address_2": "SUITE 800",
"city": "PLANO",
"state": "TX",
"postal_code": "750235944",
"telephone_number": "972-596-9697",
"fax_number": "972-867-4796"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MONTGOMERY",
"first_name": "NICOLE",
"middle_name": "SIVIE",
"name_prefix": "Mrs.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-09",
"last_updated": "2007-12-11",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TX",
"license": "19329",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FEDERAL BLUE CROSS",
"identifier": "85D562",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED CONCORDIA",
"identifier": "902701",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "NICOLE",
"last_name": "SIVIE",
"middle_name": "LEIGH",
"prefix": "MISS",
"credential": "DDS",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Plano, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.