NANCY MONTGOMERY, D.M.D - NPI NUMBER 1538200282

Summary

Provider Name: NANCY MONTGOMERY, D.M.D

NPI Number: 1538200282

Clasification: Dentist (1223P0221X)

Specialization: Pediatric Dentistry

Address:
225 IMPERIAL BLVD
LAKELAND, FL
ZIP 33803

Phone Number: (863) 644-4739



Detailed Information

Nancy Montgomery, D.M.D is a pediatric dentistry dentist in Lakeland, FL. The provider is an age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. The assigned NPI number for this provider is 1538200282 and is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business address is:

225 IMPERIAL BLVD
LAKELAND, FL
ZIP 33803-612
Phone: (863) 644-4739
Fax: (863) 619-8680

The enumeration date for this NPI number is 2/8/2007 and was last updated on 3/5/2013.

Map - Location of Practice

Taxonomy Codes

The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1 1223P0221X Dentist Pediatric Dentistry DN12365 FL Yes

NPI Record

No. Field Name Field Value Field Definition 1
1 NPI 1538200282 The 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. The NPI number includes an ISO standard check-digit in the 10th position. There is no intelligence about the health care provider in the number.
2 Entity Type Code 1 Code describing the type of health care provider that is being assigned an NPI. Codes are 1 = (Person): individual human being who furnishes health care; 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
3 Provider Last Name Legal Name MONTGOMERY The last name of the provider. If the provider is an individual, this is the legal name.
4 Provider First Name NANCY The first name of the provider, if the provider is an individual.
5 Provider Credential Text D.M.D The abbreviations for professional degrees or credentials used or held by the provider, if the provider is an individual. Examples are MD, DDS, CSW, CNA, AA, NP, RNA, or PSY. These credential designations will not be verified by NPS.
6 Provider First Line Business Practice Location Address 225 IMPERIAL BLVD The first line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
7 Provider Business Practice Location Address City Name LAKELAND The city name in the location address of the provider being identified.
8 Provider Business Practice Location Address State Name FL The State code in the location of the provider being identified.
9 Provider Business Practice Location Address Postal Code 338034612 The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
10 Provider Business Practice Location Address Country Code If outside U S US The country code in the location address of the provider being identified.
11 Provider Business Practice Location Address Telephone Number 8636444739 The telephone number associated with the location address of the provider being identified.
12 Provider Business Practice Location Address Fax Number 8636198680 The fax number associated with the location address of the provider being identified.
13 Provider Enumeration Date 2/8/2007 The date the provider was assigned a unique identifier (assigned an NPI).
14 Last Update Date 3/5/2013 The date that a record was last updated or changed.
15 Provider Gender Code F The code designating the provider’s gender if the provider is a person.
16 Healthcare Provider Taxonomy Code 1 1223P0221X Code designating the provider type, classification, and specialization. Codes are from the Healthcare Provider Taxonomy code list. The NPS will associate these data with the license data for providers with Entity type code = 1.
17 Provider License Number 1 DN12365 The license number issued to the provider being identified. The NPS can accommodate multiple license numbers for multiple specialties and for multiple States. The NPS will associate this data element with ‘‘provider taxonomy code’’.
18 Provider License Number State Code 1 FL The code representing the State that issued the license to the provider being identified. This field can accommodate multiple States. It is associated with ‘‘provider license number.
19 Healthcare Provider Primary Taxonomy Switch 1 Y
20 Is Sole Proprietor Y Code indicating whether the provider is operating as a sole proprietor. Codes are: Y = Yes; N = No

Similar Providers Nearby

NPI Provider Name NPI Type Taxonomy
1023160637 DR. STEPHEN JUSTICE WALDING, DMD Individual Dentist (General Practice)
1003258427 GAYATHRI H SUBBARAYA, DMD Individual Dentist (General Practice)
1023318052 BOPP AND TARVER PLLC Organization Dentist (Pediatric Dentistry)
1154597110 DR. KEITH YOUNG, D.D.S. Individual Dentist
1093750630 DR. EDWARD JORDAN TARVER, DMD Individual Dentist (Pediatric Dentistry)
1144547597 COMFORTABLE CARE DENTA HEALTH PROFESSIONALS, PA Organization Dentist (General Practice)
1124260104 AREZOU GARMESTANI, DMD Individual Dentist
1780605956 DR. HARRY EDWARD BOPP, DMD Individual Dentist (Pediatric Dentistry)
1063506285 DR. MIRIAM SIMON, DMD Individual Dentist (General Practice)
1164564951 DR. ARTHUR WILLIAM MOORE, D.M.D. Individual Dentist
1164642153 RAHIM BHANJI, D.M.D. Individual Dentist (General Practice)
1013334960 YARELIS CATAGENA DMD II, PA Organization Dentist (General Practice)


Download NPI Record

Download this NPI record in Text format: Export

Download this NPI record in Excel (CSV) format: Export

Download this NPI record in XML format: Export




This page was last updated on: 3/10/2015

(1) Field Definition Source-. Federal Register / Vol. 69, No. 15 / Friday, January 23, 2004 / Rules and Regulations - Part II Department of Health and Human Services Office of the Secretary 45 CFR Part 162 HIPAA Administrative Simplification: Standard Unique Health Identifier for Health Care Providers; Final Rule

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.