DR. ANDREA M MONTGOMERY D.D.S.
NPI 1508860933
Dentist - General Practice in Lawton, OK

Active since June 13, 2005PECOS Enrolled
725 NW 67TH ST, LAWTON, OK 73505(580) 536-3313(580) 536-2011 Get Directions Write a Review

NPPES record last updated: September 17, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Andrea M Montgomery D.d.s. NPPES

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

DR. ANDREA M MONTGOMERY D.D.S. (NPI 1508860933) is an individual general practice provider in Lawton, Oklahoma, licensed in Oklahoma (5721) and active in the NPI registry since June 2005. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1508860933
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameDR. ANDREA M MONTGOMERYCredential: D.D.S.
Location Address725 NW 67TH STLawton, OK 73505-4202
Mailing Address725 Nw 67th StLawton, OK 73505-4202 · (580) 536-3313 · Fax (580) 536-2011
Fax(580) 536-2011
Sole ProprietorNo
Enumeration DateJune 13, 2005
Last NPPES UpdateSeptember 17, 2012
NPI 1508860933 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 · 5721
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.
725 NW 67TH ST, Lawton, OK 73505

Other Identifiers 1

Medicaid200035620AOK

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. Andrea M Montgomery 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 73505 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 2

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

Dentist (General Practice)
725 NW 67TH ST
LAWTON, OK 73505
Dentist (General Practice)
725 NW 67TH ST
LAWTON, OK 73505

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 Andrea Montgomery's NPI number?

The NPI number for Andrea Montgomery is 1508860933. It was assigned to this individual provider in the NPPES registry on June 13, 2005.

Where is Andrea Montgomery located?

Andrea Montgomery practices at 725 NW 67th St, Lawton, OK 73505. The listed phone number is (580) 536-3313.

What is Andrea Montgomery's specialty?

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

Is Andrea Montgomery enrolled in Medicare?

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

What insurance does Andrea Montgomery accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 7 other insurers list Andrea 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 Andrea Montgomery was last updated on September 17, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.