Active NPI
Ismael R. Montane, DMD LLC
- Dental Clinic/Center
- Rockville, MD
National Provider Identifier
1811771322
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- Legal business name
- ISMAEL R. MONTANE, DMD LLC
- Practice address
- 702 King Farm Blvd Ste 160
Rockville, MD 20850-6536 - Phone
- (305) 608-5854
- NPI assigned
- Aug 24, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Ismael Rafael Montane, DMD
- Title
- Principal
- Phone
- (305) 608-5854
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | Primary |
Addresses
Primary practice location
702 King Farm Blvd Ste 160
Rockville, MD 20850-6536
Mailing address
12229 Bradbury Dr
Gaithersburg, MD 20878-2030
Phone (305) 608-5854
National Provider Directory
National Provider DirectoryLocations
702 King Farm Blvd
Ste 160
Rockville, MD 20850
Phone (240) 415-8492
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Dentist
- Rockville, MD
- NPI 1669787651
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1692835200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1692835200000",
"number": "1811771322",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12229 BRADBURY DR",
"city": "GAITHERSBURG",
"state": "MD",
"postal_code": "208782030",
"telephone_number": "305-608-5854"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "702 KING FARM BLVD STE 160",
"city": "ROCKVILLE",
"state": "MD",
"postal_code": "208506536",
"telephone_number": "305-608-5854"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ISMAEL R. MONTANE, DMD LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-08-24",
"last_updated": "2023-08-24",
"certification_date": "2023-08-24",
"status": "A",
"authorized_official_last_name": "MONTANE",
"authorized_official_first_name": "ISMAEL",
"authorized_official_middle_name": "RAFAEL",
"authorized_official_title_or_position": "PRINCIPAL",
"authorized_official_telephone_number": "305-608-5854",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DMD"
},
"taxonomies": [
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rockville, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.