Organization Active NPI

Phoebe E. Montemayor, DDS, Inc.

  • General Practice Dentistry
  • Castro Valley, CA
National Provider Identifier
1699127209
Registry record updated Jul 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
62549 Issued in CA
Legal business name
PHOEBE E. MONTEMAYOR, DDS, INC.
Practice address
20345 Santa Maria Ave
Castro Valley, CA 94546-4227
Phone
(510) 537-5229
NPI assigned
Jul 7, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2016

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

Authorized official

Name
Dr. Phoebe-Elyn E Montemayor, DDSNPI 1497187314
Title
President
Phone
(209) 814-3645

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
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 62549 CA Primary

Addresses

Primary practice location

20345 Santa Maria Ave
Castro Valley, CA 94546-4227

Mailing address

1850 Geranium Way
Tracy, CA 95376-6718
Phone (209) 814-3645

National Provider Directory

National Provider Directory

Locations

20345 Santa Maria Ave
Castro Valley, CA 94546
Phone (510) 537-5229

Practitioners & affiliated clinicians

Practitioners 2

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": "1467849600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1467849600000",
    "number": "1699127209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1850 GERANIUM WAY",
            "city": "TRACY",
            "state": "CA",
            "postal_code": "953766718",
            "telephone_number": "209-814-3645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20345 SANTA MARIA AVE",
            "city": "CASTRO VALLEY",
            "state": "CA",
            "postal_code": "945464227",
            "telephone_number": "510-537-5229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHOEBE E. MONTEMAYOR, DDS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-07",
        "last_updated": "2016-07-07",
        "status": "A",
        "authorized_official_last_name": "MONTEMAYOR",
        "authorized_official_first_name": "PHOEBE-ELYN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "209-814-3645",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "62549",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Castro Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2016; 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.