Brandt G Monfort, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

7632 Issued in WA

Practice address

217 SE 136TH Ave
Suite # 102
Vancouver, WA 98684

Phone

(360) 896-9595

Fax

(360) 896-9703

NPI assigned

Nov 2, 2006

Last updated

Jul 8, 2007By the provider in NPPES

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 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Emergency Tooth Doctor Camas, P.C.

  dba Emergency Tooth Doctor Camas

  • Dental Clinic/Center
  • Vancouver, WA
  • NPI 1598396186
  NPD (past)
• Hooman Shakiba D.M.D.

  dba Vancouver Family Dental

  • Dentist
  • Vancouver, WA
  • NPI 1841567062
  NPD (past)

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1649358870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "217 SE 136TH AVE",
            "address_2": "SUITE # 102",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "98684",
            "telephone_number": "360-896-9595",
            "fax_number": "360-896-9703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 SE 136TH AVE",
            "address_2": "SUITE # 102",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "98684",
            "telephone_number": "360-896-9595",
            "fax_number": "360-896-9703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONFORT",
        "first_name": "BRANDT",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "7632",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5029087",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ellen Monaghan, P.T.
• John Monaghan, PT
• Pamala Jane Monahan
• Monarch Midwifery
• Jeanette Marie Monda, LMP
• Monica Calderon, DMD PS (Calderon Family Dentistry)
• Beth A Monlux, RC
• Mayra Rebeca Monreal-Armenta
• Brittanna Monroe, LPN
• Elizabeth Ann Monroe, LMT, LME

• General Practice Dentistry in Vancouver, WA
• Providers in Vancouver, WA by specialty
• General Practice Dentistry in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.

Verify at the official NPI Registry.