David Tyler Montaldi, D.O.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

5101017838 Issued in MI

Practice address

1 Genesys Pkwy
Medical Education Department
Grand Blanc, MI 48439-8065

Phone

(770) 570-0707

NPI assigned

Sep 11, 2008

Last updated

Sep 11, 2008By the provider in NPPES

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Osteopathy

State licenses

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

{
    "created_epoch": "1221091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1221091200000",
    "number": "1760631980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 GENESYS PKWY",
            "address_2": "MEDICAL EDUCATION DEPARTMENT",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484398065",
            "telephone_number": "770-570-0707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 GENESYS PKWY",
            "address_2": "MEDICAL EDUCATION DEPARTMENT",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484398065",
            "telephone_number": "770-570-0707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTALDI",
        "first_name": "DAVID",
        "middle_name": "TYLER",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-09-11",
        "last_updated": "2008-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "MI",
            "license": "5101017838",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amro Mohamed, DO
• Mohammad Amin, M.D.,P.C.
• Zhraa Ali Mohammed
• Mizbauddin Mohiuddin, M.D.
• Emilie Moise, BEHAVIORAL TECH
• Emily S Monterosso
• Tanasia Montgomery
• Dylan Thomas Mooney
• Christopher Andrew Moore, D.O.
• Clintonary Moore

• General Practice Physician in Grand Blanc, MI
• Providers in Grand Blanc, MI by specialty
• General Practice Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2008; 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.