Individual provider Active NPI

Michael S. Monto, DMD, MD

  • Oral and Maxillofacial Surgery (Dentist)
  • Springboro, OH
National Provider Identifier
1629075510
Registry record updated Feb 1, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
30.023127 Issued in OH
Practice address
576 N Main St
Springboro, OH 45066-9552
Phone
(937) 748-8814
Fax
(937) 748-8817
NPI assigned
Jul 7, 2005
Last updated
Feb 1, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2017

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 045048 NY
Oral and Maxillofacial Surgery (Dentist) 1223S0112X DS035287 PA
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 30.023127 OH Primary

Addresses

Primary practice location

576 N Main St
Springboro, OH 45066-9552

Mailing address

576 N Main St
Springboro, OH 45066-9552
Phone (937) 748-8814

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Opted out of Medicare
Yes, effective May 26, 2026 through May 26, 2028

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170621000592 OH Practitioner - Maxillofacial SurgeryPractitioner - Oral Surgery 6901895739 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
045048NYMDOral and Maxillofacial Surgery (Dentist)
30.023127OHMDOral and Maxillofacial Surgery (Dentist)

Practice roles

OrganizationSpecialtyStatusNew patients
Pocono Center for Oral, Facial & Implant Surgery Past 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, 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": "1120694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485907200000",
    "number": "1629075510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "576 N MAIN ST",
            "city": "SPRINGBORO",
            "state": "OH",
            "postal_code": "450669552",
            "telephone_number": "937-748-8814",
            "fax_number": "937-748-8817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "576 N MAIN ST",
            "city": "SPRINGBORO",
            "state": "OH",
            "postal_code": "450669552",
            "telephone_number": "937-748-8814",
            "fax_number": "937-748-8817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTO",
        "first_name": "MICHAEL",
        "middle_name": "S.",
        "name_prefix": "Dr.",
        "credential": "DMD, MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-07",
        "last_updated": "2017-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NY",
            "license": "045048",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "PA",
            "license": "DS035287",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "OH",
            "license": "30.023127",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springboro, OH

Sources for this page

Verify at the official NPI Registry.