Active NPI
Cristoffer Rene Montenegro Sr.
- Dentist
- Margate, FL
National Provider Identifier
1750026720
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DN29474
- Practice address
- 350 S State Road 7
Margate, FL 33068-5703 - Phone
- (954) 520-7096
- NPI assigned
- May 3, 2022
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DN29474 | FL | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X | 2428 | FL |
Addresses
Primary practice location
350 S State Road 7
Margate, FL 33068-5703
Mailing address
350 S State Road 7
Margate, FL 33068-5703
Phone (954) 520-7096
Other practice location 1
7031 SW 62nd Ave
South Miami, FL 33143-4701
Phone (305) 284-7761
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
| License | State | Type | Specialty |
|---|---|---|---|
| DN29474 | FL | MD | Dentist |
| 2428 | FL | MD | Medical Physician Assistant |
Practice roles (1 of 2)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aburto Dental Group Corp | Current | Accepting new patients |
Locations
350 S State Road 7
Margate, FL 33068
Phone (954) 520-7096
Networks
- Freedom Health HMO Network
Organizations & group practices 1
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.
-
- Dental Clinic/Center
- Margate, FL
- NPI 1578261889
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1651536000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1729814400000",
"number": "1750026720",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "350 S STATE ROAD 7",
"city": "MARGATE",
"state": "FL",
"postal_code": "330685703",
"telephone_number": "954-520-7096"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "350 S STATE ROAD 7",
"city": "MARGATE",
"state": "FL",
"postal_code": "330685703",
"telephone_number": "954-520-7096"
}
],
"practiceLocations": [
{
"address_1": "7031 SW 62nd Ave",
"address_purpose": "LOCATION",
"city": "South Miami",
"state": "FL",
"postal_code": "331434701",
"country_code": "US",
"telephone_number": "305-284-7761",
"fax_number": "305-284-7787",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MONTENEGRO",
"first_name": "CRISTOFFER",
"middle_name": "RENE",
"name_suffix": "Sr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-05-03",
"last_updated": "2024-10-25",
"certification_date": "2024-10-25",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "FL",
"license": "DN29474",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "FL",
"license": "2428",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Margate, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.