Active NPI
Rebecca Eaton Montgomery, DDS
- Dentist
- Schaumburg, IL
National Provider Identifier
1801009469
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 19027067
- Practice address
- 1501 E Woodfield Rd
Suite 100E
Schaumburg, IL 60173-6052 - Phone
- (847) 517-2800
- Fax
- (847) 517-8770
- NPI assigned
- May 8, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 19027067 | IL | Primary |
Addresses
Primary practice location
1501 E Woodfield Rd
Suite 100E
Schaumburg, IL 60173-6052
Mailing address
1501 E Woodfield Rd
Suite 100E
Schaumburg, IL 60173-6052
Phone (847) 517-2800
Other names 1
- Dr. Rebecca Gale Eaton
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Feb 3, 2017 through Feb 3, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19027067 | IL | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rebecca E Montgomery, D.D.S., P.C. | Dentist | Past | Accepting new patients |
| Jeffrey D Eaton DDS PC | Dentist | Past | Accepting new patients |
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.
-
- Dentist
- Schaumburg, IL
- NPI 1346741931
-
- Dentist
- Schaumburg, IL
- NPI 1316099427
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178582400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1487203200000",
"number": "1801009469",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1501 E WOODFIELD RD",
"address_2": "SUITE 100E",
"city": "SCHAUMBURG",
"state": "IL",
"postal_code": "601736052",
"telephone_number": "847-517-2800",
"fax_number": "847-517-8770"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1501 E WOODFIELD RD",
"address_2": "SUITE 100E",
"city": "SCHAUMBURG",
"state": "IL",
"postal_code": "601736052",
"telephone_number": "847-517-2800",
"fax_number": "847-517-8770"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MONTGOMERY",
"first_name": "REBECCA",
"middle_name": "EATON",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-08",
"last_updated": "2017-02-16",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "IL",
"license": "19027067",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "REBECCA",
"last_name": "EATON",
"middle_name": "GALE",
"prefix": "DR.",
"credential": "DDS",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Schaumburg, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.