Michael Todd Montgomery, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

14958 Issued in TX

Practice address

7551 Callaghan Rd
#210
San Antonio, TX 78229-2860

Phone

(210) 308-8228

Fax

(210) 308-5516

NPI assigned

Nov 5, 2006

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 TX

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

Specialty

Oral Surgery

Education

Virginia Commonwealth Univ School of Dentistry, 1979

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1162684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1700965134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7551 CALLAGHAN RD",
            "address_2": "#210",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782292860",
            "telephone_number": "210-308-8228",
            "fax_number": "210-308-5516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7551 CALLAGHAN RD",
            "address_2": "#210",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782292860",
            "telephone_number": "210-308-8228",
            "fax_number": "210-308-5516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTGOMERY",
        "first_name": "MICHAEL",
        "middle_name": "TODD",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "14958",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Leigh Montgomery, AUD
• Linda M Montgomery, PH.D.
• Marica Montgomery, DVM
• Mark Earl Montgomery, APRN, FNP-C
• Mercedes Autumn Montgomery
• Shyra Donee Montgomery, BSN, RN
• Janie Alejandra Montiel, MS, LMFT
• Katheryn Faye Montiel
• Rebeca Montiel
• Romulo Esteban Montilla, PH. D.

• General Practice Dentistry in San Antonio, TX
• Providers in San Antonio, TX by specialty
• General Practice Dentistry in Texas

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.