Organization Active NPI

Montgomery Pediatrics

  • Pediatrics Physician
  • Wichita, KS
National Provider Identifier
1962269910
Registry record updated Mar 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
MONTGOMERY PEDIATRICS
Practice address
315 N Hillside St
Wichita, KS 67214-4915
Phone
(316) 685-5326
Fax
(316) 685-3017
NPI assigned
Mar 5, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2024

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

Authorized official

Name
Philip Montgomery, MD
Title
Physician/Owner
Phone
(785) 214-2296

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X Primary

Addresses

Primary practice location

315 N Hillside St
Wichita, KS 67214-4915

Mailing address

315 N Hillside St
Wichita, KS 67214-4915
Phone (316) 685-5326

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1709596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709596800000",
    "number": "1962269910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 N HILLSIDE ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672144915",
            "telephone_number": "316-685-5326",
            "fax_number": "316-685-3017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 N HILLSIDE ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672144915",
            "telephone_number": "316-685-5326",
            "fax_number": "316-685-3017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONTGOMERY PEDIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-05",
        "last_updated": "2024-03-05",
        "certification_date": "2024-03-05",
        "status": "A",
        "authorized_official_last_name": "MONTGOMERY",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "785-214-2296",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2024; 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.