Ismael Rafael Montane, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

DL11079 Issued in MA

Practice address

702 King Farm Blvd Ste 160
Rockville, MD 20850-6536

Phone

(240) 415-8492

Fax

(301) 694-2941

NPI assigned

Aug 13, 2010

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Ismael R. Montane, DMD LLC

  • Dental Clinic/Center
  • Rockville, MD
  • NPI 1811771322
  NPD Authorized official
• Gregory W Weakley DDS PA

  • Dentist
  • Frederick, MD
  • NPI 1902052582
  NPD (past)
• Rouhanian Dental Associates LLC

  • General Practice Dentistry
  • Silver Spring, MD
  • NPI 1457015158
  NPD (past)

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

{
    "created_epoch": "1281657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705449600000",
    "number": "1669787651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "702 KING FARM BLVD STE 160",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208506536",
            "telephone_number": "240-415-8492",
            "fax_number": "301-345-1609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "702 KING FARM BLVD STE 160",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208506536",
            "telephone_number": "240-415-8492",
            "fax_number": "301-694-2941"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3370 Urbana Pike",
            "address_purpose": "LOCATION",
            "city": "Ijamsville",
            "state": "MD",
            "postal_code": "217549435",
            "country_code": "US",
            "telephone_number": "301-605-1157",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MONTANE",
        "first_name": "ISMAEL",
        "middle_name": "RAFAEL",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-08-13",
        "last_updated": "2024-01-17",
        "certification_date": "2024-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MA",
            "license": "DL11079",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Monroig
• Schnabel Monserrate
• Alexandra Montague
• Labrisha Montague
• Lisa Montalvo, LPC
• Francis Montano
• Lamona R Monteiro, M.D.
• Monterey Institute of Natural Medicine
• Audio Montero Horcadela
• Jessica Amalia Monterosa

• Dentist in Rockville, MD
• Providers in Rockville, MD by specialty
• Dentist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.