Organization Active NPI

Montalvo Dental PLLC

Doing business as Montalvo Dental Esthetics

  • Dental Clinic/Center
  • San Benito, TX
National Provider Identifier
1669238960
Registry record updated Feb 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
MONTALVO DENTAL PLLC
Doing business as
Montalvo Dental Esthetics
Practice address
500 W Business 77
Suite 102
San Benito, TX 78586
Phone
(956) 357-1132
NPI assigned
Feb 23, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2024

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

Authorized official

Name
Dr. Marcus Martin Montalvo, DDSNPI 1578056909
Title
Doctor/Owner
Phone
(956) 357-1132

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

500 W Business 77
Suite 102
San Benito, TX 78586

Mailing address

500 W Business 77
Suite 102
San Benito, TX 78586

Other names 1

  • Montalvo Dental Esthetics Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1708646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708646400000",
    "number": "1669238960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 W BUSINESS 77",
            "address_2": "SUITE 102",
            "city": "SAN BENITO",
            "state": "TX",
            "postal_code": "78586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 W BUSINESS 77",
            "address_2": "SUITE 102",
            "city": "SAN BENITO",
            "state": "TX",
            "postal_code": "78586",
            "telephone_number": "956-357-1132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONTALVO DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-23",
        "last_updated": "2024-02-23",
        "certification_date": "2024-02-22",
        "status": "A",
        "authorized_official_last_name": "MONTALVO",
        "authorized_official_first_name": "MARCUS",
        "authorized_official_middle_name": "MARTIN",
        "authorized_official_title_or_position": "DOCTOR/OWNER",
        "authorized_official_telephone_number": "956-357-1132",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Montalvo Dental Esthetics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Benito, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2024; 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.