Hansel Montilla, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

104490 Issued in CA

Practice address

6333 Wilshire Blvd
Los Angeles, CA 90048-5702

Phone

(323) 653-7500

NPI assigned

Oct 15, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Hakhamian DDS Inc

  • Dentist
  • Los Angeles, CA
  • NPI 1396132833
  NPD (past)

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

{
    "created_epoch": "1571097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575590400000",
    "number": "1710529367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2002 S HOOVER ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900071323",
            "telephone_number": "310-858-7373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6333 WILSHIRE BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900485702",
            "telephone_number": "323-653-7500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTILLA",
        "first_name": "HANSEL",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-10-15",
        "last_updated": "2019-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "104490",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CALIFORNIA DENTAL LICENSE",
            "identifier": "104490",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Eliette Del Carmen Montiel
• Elsi Montiel
• Ruth Eneyda Montiel
• Ysel Montiel
• Angela Montijo
• Alexander Monto, M.D.
• Elena Sofia Montoya Flores
• Montoya Medicine
• Adriana Montoya, RN
• Aileen Montoya

• General Practice Dentistry in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2019; 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.