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RYAN L MONTGOMERY
NPI 1679714604
Oral & Maxillofacial Surgery in San Angelo, TX

Active since March 22, 2009PECOS Enrolled
3012 GREEN MEADOW DRIVE, SAN ANGELO, TX 76904(502) 777-9016 Get Directions Write a Review

NPPES record last updated: August 26, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ryan L Montgomery NPPES

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

RYAN L MONTGOMERY (NPI 1679714604) is an individual oral & maxillofacial surgery provider in San Angelo, Texas, licensed in Texas (29483) and active in the NPI registry since March 2009. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1679714604
Entity TypeIndividualMale
Primary Taxonomy204E00000X
Provider Legal NameRYAN L MONTGOMERY
Location Address3012 GREEN MEADOW DRIVESan Angelo, TX 76904-2262
Mailing Address5122 Beverly DrSan Angelo, TX 76904 · (502) 777-9016
Phone(502) 777-9016
Sole ProprietorNo
Enumeration DateMarch 22, 2009
Last NPPES UpdateAugust 26, 2016
✔ NPI 1679714604 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOral & Maxillofacial SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code204E00000X
License✔ Licensed in TX · 29483
Definition
Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery.
3012 GREEN MEADOW DRIVE, San Angelo, TX 76904
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ryan L Montgomery 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.

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 Ryan Montgomery's NPI number?

The NPI number for Ryan Montgomery is 1679714604. It was assigned to this individual provider in the NPPES registry on March 22, 2009.

Where is Ryan Montgomery located?

Ryan Montgomery practices at 3012 Green Meadow Drive, San Angelo, TX 76904. The listed phone number is (502) 777-9016.

What is Ryan Montgomery's specialty?

The primary specialty registered for this NPI is Oral & Maxillofacial Surgery with taxonomy code 204E00000X.

Is Ryan Montgomery enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Ryan Montgomery was last updated on August 26, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.