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DR. RICHARD JOHN MONTANDON D.D.S.
NPI 1164650198
Dentist - Dentist Anesthesiologist in Coeur D Alene, ID

Active since June 29, 2009PECOS Enrolled
1859 N LAKEWOOD DR STE 101, COEUR D ALENE, ID 83814(208) 818-6527 Get Directions Write a Review

NPPES record last updated: May 25, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 25, 2021, Feb 19, 2020 (2 updates tracked since 2020).

About Dr. Richard John Montandon D.d.s. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. RICHARD JOHN MONTANDON D.D.S. (NPI 1164650198) is an individual dentist anesthesiologist in Coeur D Alene, Idaho, licensed in Washington (GA60690773) and active in the NPI registry since June 2009. He is enrolled in Medicare PECOS and maintains a secondary practice location in Spokane.

NPPES Registry Identity

NPI1164650198
Entity TypeIndividualMale
Primary Taxonomy1223D0004X
Provider Legal NameDR. RICHARD JOHN MONTANDONCredential: D.D.S.
Location Address1859 N LAKEWOOD DR STE 101Coeur D Alene, ID 83814-2661
Mailing Address1859 N Lakewood Dr Ste 101Coeur D Alene, ID 83814-2661 · (208) 818-6527
Phone(208) 818-6527
Sole ProprietorNo
Enumeration DateJune 29, 2009
Last NPPES UpdateMay 25, 20212 updates tracked since enumeration
NPPES CertifiedMay 25, 2021
✔ NPI 1164650198 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · Dentist AnesthesiologistDental Providers
Taxonomy Code1223D0004X
Licenses✔ Licensed in WA · GA60690773✔ Licensed in PA · DS039119
Definition
A dentist who has successfully completed an accredited postdoctoral anesthesiology residency training program for dentists of two or more years duration, in accord with Commission on Dental Accreditation's Standards for Dental Anesthesiology Residency Programs, and/or meets the eligibility requirements for examination by the American Dental Board of Anesthesiology.
Also ListedDentistTaxonomy 122300000X · License DE60688067 (WA)
1859 N LAKEWOOD DR STE 101, Coeur D Alene, ID 83814
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Secondary Practice Location 1

Location 1105 W 8th Ave Ste 123CSpokane, WA 99204-2302 · Phone (509) 474-7498

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Richard John Montandon D.d.s. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83814 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$81.13 typical visit price
range $52.44 – $160.17
Typical copayment $20.28 (range $13.11 – $40.04)
Most-billed visit code 99203
Established Patient
$65.77 typical visit price
range $16.68 – $130.93
Typical copayment $16.44 (range $4.17 – $32.73)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ID OMS SPECIALTY DENTAL SERVICES, PLLC
Dentist (Oral and Maxillofacial Surgery)
1859 N LAKEWOOD DR STE 101
COEUR D ALENE, ID 83814
Kootenai County (208) 667-5565
ID OMS SPECIALTY DENTAL SERVICES, PLLC
Dentist (Oral and Maxillofacial Surgery)
1859 N LAKEWOOD DR STE 101
COEUR D ALENE, ID 83814
Kootenai County (208) 667-5565

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Richard Montandon's NPI number?

The NPI number for Richard Montandon is 1164650198. It was assigned to this individual provider in the NPPES registry on June 29, 2009.

Where is Richard Montandon located?

Richard Montandon practices at 1859 N Lakewood Dr Ste 101, Coeur D Alene, ID 83814. The listed phone number is (208) 818-6527.

What is Richard Montandon's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Dentist Anesthesiologist, with taxonomy code 1223D0004X.

Is Richard Montandon enrolled in Medicare?

Yes. Richard Montandon is registered in the Medicare PECOS enrollment system.

What insurance does Richard Montandon accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Richard Montandon as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Richard Montandon was last updated on May 25, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.