Amy Montefalco, D.D.S

Primary specialty

DentistTaxonomy code 122300000X

License

12009595B Issued in IN

Practice address

4720 Quails Nest Dr
Indianapolis, IN 46237-2962

Phone

(317) 260-0742

NPI assigned

Aug 21, 2012

Last updated

Aug 21, 2012By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IN

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.

• Amy Montefalco D.D.S LLC

  • Dental Clinic/Center
  • Greenwood, IN
  • NPI 1730708157
  NPD (past) Authorized official
• Tracey Tabor Williams, DMD, PA

  • Dentist
  • Indianapolis, IN
  • NPI 1952733230
  NPD (past)
• Tracey Tabor Williams, DMD, PC

  • General Practice Dentistry
  • Indianapolis, IN
  • NPI 1023360310
  NPD (past)

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

{
    "created_epoch": "1345507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1345507200000",
    "number": "1881942993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4720 QUAILS NEST DR",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462372962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4720 QUAILS NEST DR",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462372962",
            "telephone_number": "317-260-0742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTEFALCO",
        "first_name": "AMY",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-08-21",
        "last_updated": "2012-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IN",
            "license": "12009595B",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cheryl Montague, ATC, LAT
• Chasity Montalvo, LCAC, MS
• Grace Ann Montana
• Bethany M Monte, CNM, PMHNP
• Stephen Robert Monte, LCSW
• Philip M Montefalco, D.D.S.
• Zane Montefalco, DMD
• Delmira Monteiro, PHD
• Katherine M Monteith, PT
• Melanie Dawn Monteith, RD, CD

• Dentist in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Dentist in Indiana

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