DR. MONTEZ DELVER HALLBACK DMD
NPI 1477398196
Dentist - General Practice in Auburn, MA
About Dr. Montez Delver Hallback Dmd NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. MONTEZ DELVER HALLBACK DMD (NPI 1477398196) is an individual general practice provider in Auburn, Massachusetts, licensed in Virginia (0401419233) and active in the NPI registry since June 2024. He is enrolled in Medicare PECOS and is a graduate of Tufts University School Of Dental Medicine (2024).
NPPES Registry Identity
Specialties & Licenses
Accepted 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. Montez Delver Hallback Dmd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 01501 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 8
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Montez Hallback's NPI number?
The NPI number for Montez Hallback is 1477398196. It was assigned to this individual provider in the NPPES registry on June 25, 2024.
Where is Montez Hallback located?
Montez Hallback practices at 434 Southbridge St Ste B, Auburn, MA 01501. The listed phone number is (508) 752-6649.
What is Montez Hallback's specialty?
The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.
Is Montez Hallback enrolled in Medicare?
Yes. Montez Hallback is registered in the Medicare PECOS enrollment system.
What insurance does Montez Hallback accept?
Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 6 other insurers list Montez Hallback 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 Montez Hallback was last updated on November 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.
# Dr. Montez Delver Hallback, DMD · NPI 1477398196
General Practice provider in Auburn, Massachusetts. Individual provider, active in the CMS NPPES registry since June 25, 2024.
## Identity
- **NPI:** 1477398196 (Entity type: Individual)
- **Enumerated:** June 25, 2024
- **Primary specialty:** Dentist - General Practice · taxonomy 1223G0001X
- **State license:** 0401419233 (Virginia)
- **Sole proprietor:** No
## Practice location
- **Address:** 434 SOUTHBRIDGE ST STE B, Auburn, MA 01501-4423
- **Phone:** (508) 752-6649
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Medical school:** Tufts University School Of Dental Medicine, class of 2024
## Record status
- **NPPES last updated:** November 19, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1477398196) · Data from the CMS NPPES public registry.