Individual provider Active NPI

David John Montgomery, D.D.S.

  • Dentist
  • West Chester, PA
National Provider Identifier
1700929452
Registry record updated Aug 28, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DS029329L Issued in PA
Practice address
795 E Marshall St
Suite 202
West Chester, PA 19380-4400
Phone
(610) 431-0600
Fax
(610) 701-0176
NPI assigned
Feb 14, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 28, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DS029329L PA Primary

Addresses

Primary practice location

795 E Marshall St
Suite 202
West Chester, PA 19380-4400

Mailing address

795 E Marshall St
Suite 202
West Chester, PA 19380-4400
Phone (610) 431-0600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DS029329LPAMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1171411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1188259200000",
    "number": "1700929452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "795 E MARSHALL ST",
            "address_2": "SUITE 202",
            "city": "WEST CHESTER",
            "state": "PA",
            "postal_code": "193804400",
            "telephone_number": "610-431-0600",
            "fax_number": "610-701-0176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "795 E MARSHALL ST",
            "address_2": "SUITE 202",
            "city": "WEST CHESTER",
            "state": "PA",
            "postal_code": "193804400",
            "telephone_number": "610-431-0600",
            "fax_number": "610-701-0176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTGOMERY",
        "first_name": "DAVID",
        "middle_name": "JOHN",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-14",
        "last_updated": "2007-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS029329L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Chester, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 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.