Quentin Joh-Douglas Montgomery, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

30.025521 Issued in OH

Practice address

11201 Shaker Blvd
Cleveland, OH 44104

Phone

(216) 368-7238

Fax

(216) 721-8171

NPI assigned

Oct 19, 2017

Sex

Male

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1508371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530748800000",
    "number": "1932610698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "291 BUCKNER DR",
            "city": "EUCLID",
            "state": "OH",
            "postal_code": "441231511",
            "telephone_number": "419-366-4139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11201 SHAKER BLVD",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "44104",
            "telephone_number": "216-368-7238",
            "fax_number": "216-721-8171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTGOMERY",
        "first_name": "QUENTIN",
        "middle_name": "JOH-DOUGLAS",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-10-19",
        "last_updated": "2018-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OH",
            "license": "30.025521",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lajunna Montgomery
• Latisha Montgomery
• Latonya Dianne Montgomery
• Moneise Tamar Montgomery
• Nateesha Camille Montgomery
• Robert Armstrong Montgomery, MD
• Summer Joy Montgomery, R.N.
• Tyrone Vincent Montgomery
• Shannon Montiel, M.ED., ED.S.
• James Christopher Montis, DPM

• Dentist in Cleveland, OH
• Providers in Cleveland, OH by specialty
• Dentist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2018; 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.