Organization Active NPI

Hero Dental of Essex PC-Ronald B Montano DDS

Doing business as Adventure Dental

  • General Practice Dentistry
  • Essex, MD
National Provider Identifier
1639449267
Registry record updated Sep 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
HERO DENTAL OF ESSEX PC-RONALD B MONTANO DDS
Doing business as
Adventure Dental
Practice address
1346 Eastern Blvd
Essex, MD 21221-3423
Phone
(410) 406-3006
Fax
(410) 406-3007
NPI assigned
Jan 12, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2025

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

Authorized official

Name
Shaun Urbanozo
Title
Credentialing Manager
Phone
(719) 323-2362

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X MD Primary

Addresses

Primary practice location

1346 Eastern Blvd
Essex, MD 21221-3423

Mailing address

2221 E Bijou St
Ste 100
Colorado Springs, CO 80909-8009
Phone (719) 955-8896

Other identifiers 1

IdentifierTypeStateIssuer
052827700MedicaidMD

Other names 1

  • Adventure Dental Doing business as

National Provider Directory

National Provider Directory

Locations

1346 Eastern Blvd
Essex, MD 21221
Phone (410) 406-3006

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1326326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757376000000",
    "number": "1639449267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2221 E BIJOU ST",
            "address_2": "STE 100",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809098009",
            "telephone_number": "719-955-8896",
            "fax_number": "719-955-3470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1346 EASTERN BLVD",
            "city": "ESSEX",
            "state": "MD",
            "postal_code": "212213423",
            "telephone_number": "410-406-3006",
            "fax_number": "410-406-3007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERO DENTAL OF ESSEX PC-RONALD B MONTANO DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-12",
        "last_updated": "2025-09-09",
        "certification_date": "2025-09-09",
        "status": "A",
        "authorized_official_last_name": "URBANOZO",
        "authorized_official_first_name": "SHAUN",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "719-323-2362"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "052827700",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Adventure Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Essex, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2025; 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.