Individual provider Active NPI

Steven Gabriel Montoya, DDS

  • General Practice Dentistry
  • Orleans, MA
National Provider Identifier
1780794867
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
18622 Issued in MA
Practice address
48 Eldredge Parkway
Orleans, MA 02653
Phone
(508) 255-0516
Fax
(508) 255-4298
NPI assigned
Aug 30, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 18622 MA Primary

Addresses

Primary practice location

48 Eldredge Parkway
Orleans, MA 02653

Mailing address

48 Eldredge Parkway
Orleans, MA 02653
Phone (508) 255-0516

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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

Enrollment IDStateProvider typePAC IDDetails
I20160621002428 MA Order and Referring Only - DentistPractitioner - Dentist 9335430479

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
18622MAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Lower Cape Dental Associates LLP General Practice Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1780794867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "48 ELDREDGE PARKWAY",
            "city": "ORLEANS",
            "state": "MA",
            "postal_code": "02653",
            "telephone_number": "508-255-0516",
            "fax_number": "508-255-4298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "48 ELDREDGE PARKWAY",
            "city": "ORLEANS",
            "state": "MA",
            "postal_code": "02653",
            "telephone_number": "508-255-0516",
            "fax_number": "508-255-4298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTOYA",
        "first_name": "STEVEN",
        "middle_name": "GABRIEL",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "18622",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orleans, MA

Sources for this page

Verify at the official NPI Registry.