ROBERT MONTGOMERY (NPI# 1497768444) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497768444 |
| Entity Type | Individual |
| Full Name | ROBERT MONTGOMERY |
| Credential | D.D.S. |
| Practice Address |
1127 S St Fresno CA 93721-1408 |
| Practice Telephone | 5592373390 |
| Practice Fax Number | 5592370400 |
| Mailing Telephone | 5592373390 |
| Mailing Fax Number | 5592370400 |
| Enumeration Date | 2006-08-14 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 30456 | CA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902207376 | Robert Montgomery | Marriage & Family Therapist | 6619 Dunbarton Dr, Tuscaloosa, AL 35406-2920 | 2014-09-04 |
| 1164853453 | Robert Montgomery Sr. | Technician/Technologist | 513 Gaslight Blvd, Lufkin, TX 75904-3127 | 2013-12-11 |
| 1235421645 | Robert Howes Montgomery | Radiology | 9447 Discovery Ter, #202, Bradenton, FL 34212-5113 | 2011-05-04 |
| 1245427343 | Robert Dean Montgomery | Dentist | 816 Scott St, Paso Robles, CA 93446-3640 | 2007-10-02 |
| 1720101447 | Robert G Montgomery | Family Medicine | 8570 S 116th St, Franklin, WI 53132-8803 | 2007-04-09 |
| 1437268125 | Robert W Montgomery | Psychologist | 107 Weatherstone Dr, Suite 530, Woodstock, GA 30188 | 2006-08-29 |
| 1770696544 | Robert A Montgomery | Dentist | 108 Third St, Elkins, WV 26241 | 2006-08-16 |
| 1801802764 | Robert Leslie Montgomery | Podiatrist | 5502 Sepulveda Blvd, Culver City, CA 90230-5514 | 2006-07-31 |
| 1952304594 | Robert Lance Montgomery | Orthopaedic Surgery | 24331 El Toro Rd Ste 200, Laguna Woods, CA 92637-3116 | 2005-05-27 |
| 1538712583 | Robert Montgomery | Physician Assistant | 900 W Clairemont Ave, Eau Claire, WI 54701-6122 | 2019-07-18 |
| Street Address |
1127 S ST |
| City | FRESNO |
| State | CA |
| Zip Code | 93721-1408 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174157044 | Children's Dentistry and Orthodontics of Fresno A Dental Office of Ste | Dentist | 1127 S St, Fresno, CA 93721-1408 | 2020-02-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487297107 | Fareeha Sipra | Nurse Practitioner | Fresno County Jail, 1225 M Street, Fresno, CA 93721 | 2019-10-25 |
| 1619521929 | Kepler Education Incorporation | Local Education Agency (LEA) | 1462 Broadway St., Fresno, CA 93721 | 2019-07-25 |
| 1588156434 | Micha Ramirez | Case Manager/Care Coordinator | 2140 Merced St., Fresno, CA 93721 | 2018-06-05 |
| 1649798992 | Nadia C Martinez | Licensed Vocational Nurse | 1310 M. Street, Fresno, CA 93721 | 2017-09-07 |
| 1538604251 | Be Together Home Care LLC | In Home Supportive Care | 2014 Tulare St Ste 605, Fresno, CA 93721 | 2017-01-04 |
| 1124426705 | Central California Faculty Medical Group, Inc. | Durable Medical Equipment & Medical Supplies | 2554 Merced Street, Fresno, CA 93721 | 2014-12-12 |
| 1427455336 | University Medical Supply | Durable Medical Equipment & Medical Supplies | 2554 Merced St, Fresno, CA 93721 | 2014-11-21 |
| 1154723542 | Ryan Gil | Physical Therapist | 1350 O St Ste 201, Fresno, CA 93721 | 2014-09-17 |
| 1831526250 | Tiffany Marie Gonzalez | Counselor | 2409 Mered St #106, Fresno, CA 93721 | 2013-09-30 |
| 1972939783 | Reshale L Thomas | Psychologist | 2900 Fresno St Ste 108, Fresno, CA 93721 | 2013-09-25 |
| Find all providers in zip 93721 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336752971 | Mauricio Rubio | Dentist | 5336 E Truman Ave, Fresno, CA 93725-0934 | 2020-08-24 |
| 1205458767 | Gene Park | Dentist | 1367 E Saint James Cir, Fresno, CA 93720-1417 | 2020-05-07 |
| 1104464684 | Kazi Shafiul Moula | Dentist | Western Dental/ Brident 150bfo, 3077 W Shaw Ave, Fresno, CA 93711 | 2019-12-16 |
| 1336793488 | Harry Gill | Dentist | 5492 N Palm Ave Ste A, Fresno, CA 93704-1960 | 2019-07-26 |
| 1619433711 | Beacon Dental Group | Dentist | 6099 N. First Ste Ste 102, Fresno, CA 93710 | 2019-02-13 |
| 1295209823 | Western Dental Services, Inc. | Dentist | 5776 N Blackstone Ave Ste 104, Fresno, CA 93710-5026 | 2019-01-16 |
| 1922570134 | Charles Keith Diddy | Dentist | 5637 N Palm Ave Apt B, Fresno, CA 93704-1829 | 2018-12-28 |
| 1659847549 | S Mavi,d.d.s., Incorporated | Dentist | 4007 N Marks Ave Ste 102, Fresno, CA 93722-4555 | 2018-10-17 |
| 1558875633 | Manbir Kaur Sandhu | Dentist | 605 S Shelly Ave, Fresno, CA 93727-6570 | 2017-11-28 |
| 1699285148 | Joann Alvine Levy | Dentist | 2179 E Olympic Ave, Fresno, CA 93730-5157 | 2017-10-10 |
| Find all providers in FRESNO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.