Organization Active NPI

Nivaldo Montes DDS SC

Doing business as Nivaldo Montes DDS

  • General Practice Dentistry
  • Chicago, IL
National Provider Identifier
1932452554
Registry record updated Oct 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
019.022915 Issued in IL
Legal business name
NIVALDO MONTES DDS SC
Doing business as
Nivaldo Montes DDS
Practice address
25 E Washington St Ste 1721
Chicago, IL 60602-1899
Phone
(312) 236-3226
Fax
(312) 236-9629
NPI assigned
Oct 19, 2012
Last updated
Oct 30, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2023

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

Authorized official

Name
Nivaldo MontesNPI 1760621163
Title
Owner
Phone
(312) 236-3226

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 019.022915 IL Primary

Addresses

Primary practice location

25 E Washington St Ste 1721
Chicago, IL 60602-1899

Mailing address

25 E Washington St Ste 1721
Chicago, IL 60602-1899
Phone (312) 236-3226

Other practice location 1

25 E Washington St Ste 1111
Chicago, IL 60602-1711
Phone (312) 236-3226

Other practice location 2

333 N. Michigan Ave.
#2900
Chicago, IL 60601-3946
Phone (312) 236-3226

Other identifiers 1

IdentifierTypeStateIssuer
0007716118OtherAETNA

Other names 1

  • Nivaldo Montes DDS Doing business as

National Provider Directory

National Provider Directory

Locations

333 N Michigan Ave
Ste 2900
Chicago, IL 60601
Phone (312) 236-3226

25 E Washington St
Ste 1111
Chicago, IL 60602
Phone (312) 236-3226

25 E Washington St
Ste 1721
Chicago, IL 60602
Phone (312) 236-3226

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1350604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698624000000",
    "number": "1932452554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 E WASHINGTON ST STE 1721",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606021899",
            "telephone_number": "312-236-3226",
            "fax_number": "312-236-9629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 E WASHINGTON ST STE 1721",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606021899",
            "telephone_number": "312-236-3226",
            "fax_number": "312-236-9629"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "25 E Washington St Ste 1111",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606021711",
            "country_code": "US",
            "telephone_number": "312-236-3226",
            "fax_number": "312-236-9629",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "333 N. Michigan Ave.",
            "address_2": "#2900",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606013946",
            "country_code": "US",
            "telephone_number": "312-236-3226",
            "fax_number": "312-236-9629",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NIVALDO MONTES DDS SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-19",
        "last_updated": "2023-10-30",
        "certification_date": "2023-10-30",
        "status": "A",
        "authorized_official_last_name": "MONTES",
        "authorized_official_first_name": "NIVALDO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "312-236-3226"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019.022915",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "0007716118",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nivaldo Montes DDS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 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.

Verify at the official NPI Registry.