Veronica Montgomery, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D-4631 Issued in ID

Practice address

5360 N Eagle Rd
Suite # 101
Boise, ID 83713-4901

Phone

(208) 939-7620

NPI assigned

Oct 11, 2011

Last updated

Feb 20, 2015By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in ID

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Boise Caring Dentistry, P.C.

  • Dental Clinic/Center
  • Boise, ID
  • NPI 1487046363
  Authorized official Same address or phone
• Boise Center for Cosmetic Dentistry

  • General Practice Dentistry
  • Boise, ID
  • NPI 1922161272
  NPD (past)

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

{
    "created_epoch": "1318291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424390400000",
    "number": "1871877704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5360 N EAGLE RD",
            "address_2": "SUITE # 101",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837134901",
            "telephone_number": "208-939-7620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5360 N EAGLE RD",
            "address_2": "SUITE # 101",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837134901",
            "telephone_number": "208-939-7620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTGOMERY",
        "first_name": "VERONICA",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-11",
        "last_updated": "2015-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MT",
            "license": "2476",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "ID",
            "license": "D-4631",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adrianne Montgomery
• Kathryn Montgomery, LCPC
• Michelle M Montgomery, RDN
• Paul G Montgomery, MD
• Russell Adam Montgomery, BA
• Shawnee Kay Montierth, NP-C
• Erika Michel Montoya, COUNSELING INTERN
• Stacey A Montoya, LMSW
• Nevaeh Liberty Monuteaux
• Ariel Claire Elizabeth Moon

• General Practice Dentistry in Boise, ID
• Providers in Boise, ID by specialty
• General Practice Dentistry in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2015; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.