NPIMap

Organization Active NPI

Charles E. Montague,III,D.M.D.,P.S.C.

  • General Practice Dentistry
  • Ashland, KY
National Provider Identifier
1821361940
Registry record updated Feb 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
5224 Issued in KY
Legal business name
CHARLES E. MONTAGUE,III,D.M.D.,P.S.C.
Practice address
1330 Central Ave
Ashland, KY 41101-7550
Phone
(606) 329-0919
NPI assigned
Feb 21, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Charles Ernest Montague III, D.M.D.NPI 1043351372
Title
Sole Officer
Phone
(606) 329-0919

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)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 5224 KY Primary

Addresses

Primary practice location

1330 Central Ave
Ashland, KY 41101-7550

Mailing address

1330 Central Ave
Ashland, KY 41101-7550
Phone (606) 329-0919

National Provider Directory

National Provider Directory

Locations

1330 Central Ave
Ashland, KY 41101
Phone (606) 329-0919

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1329782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329782400000",
    "number": "1821361940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1330 CENTRAL AVE",
            "city": "ASHLAND",
            "state": "KY",
            "postal_code": "411017550",
            "telephone_number": "606-329-0919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1330 CENTRAL AVE",
            "city": "ASHLAND",
            "state": "KY",
            "postal_code": "411017550",
            "telephone_number": "606-329-0919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLES E. MONTAGUE,III,D.M.D.,P.S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-21",
        "last_updated": "2012-02-21",
        "status": "A",
        "authorized_official_last_name": "MONTAGUE",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "ERNEST",
        "authorized_official_title_or_position": "SOLE OFFICER",
        "authorized_official_telephone_number": "606-329-0919",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "KY",
            "license": "5224",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ashland, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2012; 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.