Jason Mario Monge, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

5290 Issued in AL

Practice address

2112 Danville Rd SW Ste a
Decatur, AL 35601-4673

Phone

(256) 353-8696

Fax

(256) 353-7388

NPI assigned

May 10, 2007

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

Other names 1

• Dr. Mario Monge Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Mario Monge DMD PC

  • General Practice Dentistry
  • Decatur, AL
  • NPI 1962297820
  NPD Authorized official
• Decatur Dental Center L.L.C.

  • General Practice Dentistry
  • Decatur, AL
  • NPI 1689769069
  NPD (past)

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

{
    "created_epoch": "1178755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744070400000",
    "number": "1992910467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2112 DANVILLE RD SW STE A",
            "city": "DECATUR",
            "state": "AL",
            "postal_code": "356014673",
            "telephone_number": "256-353-8696",
            "fax_number": "256-353-7388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2112 DANVILLE RD SW STE A",
            "city": "DECATUR",
            "state": "AL",
            "postal_code": "356014673",
            "telephone_number": "256-353-8696",
            "fax_number": "256-353-7388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONGE",
        "first_name": "JASON",
        "middle_name": "MARIO",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-10",
        "last_updated": "2025-04-08",
        "certification_date": "2025-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AL",
            "license": "5290",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARIO",
            "last_name": "MONGE",
            "prefix": "DR.",
            "credential": "DMD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Kelly Dorr Moates, LMFT
• Mobile Dental Services of Alabama PC
• Nilay Modi, PHARMD
• Joseph Michael Molisani, DDS
• Michael Dennis Monaghan, CRNA
• Chloe Taylor Monin, RBT
• Armando Monroy, MD
• Montelissa Full Life Resources, Inc
• Brittney Moody
• Danielle Marie Moon, CRNP

• General Practice Dentistry in Decatur, AL
• Providers in Decatur, AL by specialty
• General Practice Dentistry in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2025; 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.