RONALD KEITH MONTGOMERY DDS
NPI 1417039090
Dentist - General Practice in Tulsa, OK

Q: What is Ronald Montgomery's NPI number?

The NPI number for Ronald Montgomery is 1417039090. It was assigned to this individual provider in the NPPES registry on October 20, 2006.

Q: What is Ronald Montgomery's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: When was this NPI record last updated?

The NPPES record for Ronald Montgomery was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.

Active since October 20, 2006PECOS Enrolled

2105 E 15TH ST, TULSA, OK 74104(918) 742-2888(918) 742-4185 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Ronald Keith Montgomery Dds NPPES

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

RONALD KEITH MONTGOMERY DDS (NPI 1417039090) is an individual general practice provider in Tulsa, Oklahoma, licensed in Oklahoma (4619) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1417039090

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameRONALD KEITH MONTGOMERYCredential: DDS

Location Address2105 E 15TH STTulsa, OK 74104-4613

Mailing Address2105 E 15th StTulsa, OK 74104-4613 · (918) 742-2888 · Fax (918) 742-7185

Phone(918) 742-2888

Fax(918) 742-4185

Sole ProprietorNo

Enumeration DateOctober 20, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1417039090 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in OK · 4619

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

2105 E 15TH ST, Tulsa, OK 74104

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and more.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)

Ronald Keith Montgomery Dds 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 74104 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

$82.46 typical visit price

range $53.00 – $162.61

Typical copayment $20.61 (range $13.25 – $40.65)

Most-billed visit code 99203

Established Patient

$66.48 typical visit price

range $16.68 – $132.40

Typical copayment $16.62 (range $4.17 – $33.10)

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

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

DAVID ERVIN JUMP D.D.S.

Dentist (General Practice)

2105 E 15TH ST
TULSA, OK 74104

Tulsa County (801) 318-8315

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 Ronald Montgomery's NPI number?

The NPI number for Ronald Montgomery is 1417039090. It was assigned to this individual provider in the NPPES registry on October 20, 2006.

Where is Ronald Montgomery located?

Ronald Montgomery practices at 2105 E 15th St, Tulsa, OK 74104. The listed phone number is (918) 742-2888.

What is Ronald Montgomery's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Ronald Montgomery enrolled in Medicare?

Yes. Ronald Montgomery is registered in the Medicare PECOS enrollment system.

What insurance does Ronald Montgomery accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 12 other insurers list Ronald Montgomery 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 Ronald Montgomery was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.