Individual provider Active NPI

Peter Joseph Montini, DMD

  • General Practice Dentistry
  • Beaver, PA
National Provider Identifier
1720540537
Registry record updated Jul 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DS041887 Issued in PA
Practice address
5060 Tuscarawas Rd
Beaver, PA 15009-1006
Phone
(724) 495-3350
NPI assigned
Apr 1, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DS041887 PA Primary

Addresses

Primary practice location

5060 Tuscarawas Rd
Beaver, PA 15009-1006

Mailing address

5060 Tuscarawas Rd
Beaver, PA 15009-1006
Phone (724) 495-3350

Medicare participation

Medicare enrollment files
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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231225000042 PA Practitioner - DentistPractitioner - Sleep Medicine 4183074669 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DS041887PAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
St. Barnabas Medical Center, Inc CurrentSince Dec 26, 2023 Accepting new patients
St. Barnabas Medical Center Inc CurrentSince Dec 26, 2023 Accepting new patients

Locations

5060 Tuscarawas Rd
Beaver, PA 15009
Phone (724) 495-3350

5830 Meridian Rd
Gibsonia, PA 15044
Phone (724) 443-0700

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1554076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688947200000",
    "number": "1720540537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5060 TUSCARAWAS RD",
            "city": "BEAVER",
            "state": "PA",
            "postal_code": "150091006",
            "telephone_number": "724-495-3350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5060 TUSCARAWAS RD",
            "city": "BEAVER",
            "state": "PA",
            "postal_code": "150091006",
            "telephone_number": "724-495-3350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTINI",
        "first_name": "PETER",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-04-01",
        "last_updated": "2023-07-10",
        "certification_date": "2023-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS041887",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaver, PA

Sources for this page

Verify at the official NPI Registry.