Individual provider Active NPI

Roger Montz, D.M.D.

  • Dentist
  • Melbourne Beach, FL
National Provider Identifier
1972813285
Registry record updated Oct 20, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN14467 Issued in FL
Practice address
524 Ocean Ave
Melbourne Beach, FL 32951-2524
Phone
(321) 725-6565
NPI assigned
Oct 20, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DN14467 FL Primary

Addresses

Primary practice location

524 Ocean Ave
Melbourne Beach, FL 32951-2524

Mailing address

524 Ocean Ave
Melbourne Beach, FL 32951-2524
Phone (321) 725-6565

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DN14467FLMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Collins & Montz, D.M.D., P.a. Dentist Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1287532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1287532800000",
    "number": "1972813285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "524 OCEAN AVE",
            "city": "MELBOURNE BEACH",
            "state": "FL",
            "postal_code": "329512524",
            "telephone_number": "321-725-6565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "524 OCEAN AVE",
            "city": "MELBOURNE BEACH",
            "state": "FL",
            "postal_code": "329512524",
            "telephone_number": "321-725-6565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTZ",
        "first_name": "ROGER",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-10-20",
        "last_updated": "2010-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN14467",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Melbourne Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2010; 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.