Mark N. Montgomery, D.D.S., Inc.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

31673 Issued in CA

Legal business name

MARK N. MONTGOMERY, D.D.S., INC.

Practice address

32241 Crown Valley Pkwy
Suite 240
Monarch Beach, CA 92629-3346

Phone

(949) 493-3333

Fax

(949) 493-2057

NPI assigned

May 22, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Mark N. Montgomery, D.D.S.NPI 1043413024

Title

President

Phone

(949) 493-3333

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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.

• Mark N. Montgomery, D.D.S.

  • General Practice Dentistry
  • Monarch Beach, CA
  • NPI 1043413024
  NPD (past) Authorized official
• Amanda Valerie Maitino, DDS

  • Dentist
  • Dana Point, CA
  • NPI 1801494521

  General Practice

  NPD (past)

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1952510067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32241 CROWN VALLEY PKWY",
            "address_2": "SUITE 240",
            "city": "MONARCH BEACH",
            "state": "CA",
            "postal_code": "926293346",
            "telephone_number": "949-493-3333",
            "fax_number": "949-493-2057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32241 CROWN VALLEY PKWY",
            "address_2": "SUITE 240",
            "city": "MONARCH BEACH",
            "state": "CA",
            "postal_code": "926293346",
            "telephone_number": "949-493-3333",
            "fax_number": "949-493-2057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK N. MONTGOMERY, D.D.S., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MONTGOMERY",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "N.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "949-493-3333",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "31673",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adeleh Hashemi
• Erin M Jenkins, DPT, ATC/L
• Natalie Newell Karlinsey, OD
• Laguna-Dana Urgent Care Inc
• Steven Andrew Margulies, DDS
• Mark N. Montgomery, D.D.S.
• Frankie Doreen Scott-Canova, D.C.
• Sterling Touch Wellness
• Leonard F Szymczak, MSW LCSW
• Catherine Lenkoski Vojtus, M.D.

• General Practice Dentistry in Monarch Beach, CA
• Providers in Monarch Beach, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.