Individual provider Active NPI

Richard Lamonte Page, D.M.D

  • General Practice Dentistry
  • West Lake Hills, TX
National Provider Identifier
1891884391
Registry record updated Feb 21, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
D3606 Issued in ID
Practice address
3300 Bee Caves Rd
290
West Lake Hills, TX 78746-6600
Phone
(512) 327-2131
NPI assigned
Oct 12, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 21, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X D3606 ID Primary
Dentist 122300000X 28977 TX

Addresses

Primary practice location

3300 Bee Caves Rd
290
West Lake Hills, TX 78746-6600

Mailing address

3300 Bee Caves Rd Ste 290
West Lake Hills, TX 78746-6660
Phone (512) 327-2131

Other identifiers 1

IdentifierTypeStateIssuer
806402100MedicaidID

Other names 1

  • Monte Page Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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

Enrollment IDStateProvider typePAC IDDetails
I20160628002573 TX Order and Referring Only - DentistPractitioner - Dentist 9234443789

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
28977TXMDDentist
D3606IDMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487635200000",
    "number": "1891884391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3300 BEE CAVES RD STE 290",
            "city": "WEST LAKE HILLS",
            "state": "TX",
            "postal_code": "787466660",
            "telephone_number": "512-327-2131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 BEE CAVES RD",
            "address_2": "290",
            "city": "WEST LAKE HILLS",
            "state": "TX",
            "postal_code": "787466600",
            "telephone_number": "512-327-2131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAGE",
        "first_name": "RICHARD",
        "middle_name": "LAMONTE",
        "credential": "D.M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-12",
        "last_updated": "2017-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "ID",
            "license": "D3606",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "28977",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "806402100",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MONTE",
            "last_name": "PAGE",
            "credential": "D.M.D",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in West Lake Hills, TX

Sources for this page

Verify at the official NPI Registry.