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AMANDA MONTALVO DMD
NPI 1700364148
Dentist in Philadelphia, PA

Active since July 28, 2018PECOS Enrolled
401 W ALLEGHENY AVE, PHILADELPHIA, PA 19133(215) 291-2500 Get Directions Write a Review

NPPES record last updated: September 2, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 2, 2018, Jul 28, 2018 (2 updates tracked since 2018).

About Amanda Montalvo Dmd NPPES

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

AMANDA MONTALVO DMD (NPI 1700364148) is an individual dentist in Philadelphia, Pennsylvania, licensed in Pennsylvania (DS041894) and active in the NPI registry since July 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1700364148
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameAMANDA MONTALVOCredential: DMD
Location Address401 W ALLEGHENY AVEPhiladelphia, PA 19133-3644
Mailing Address1412-22 Fairmount AvenuePhiladelphia, PA 19130-2908 · (215) 235-4573 · Fax (215) 232-4093
Phone(215) 291-2500
Sole ProprietorYes
Enumeration DateJuly 28, 2018
Last NPPES UpdateSeptember 2, 20212 updates tracked since enumeration
NPPES CertifiedSeptember 2, 2021
✔ NPI 1700364148 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in PA · DS041894
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
401 W ALLEGHENY AVE, Philadelphia, PA 19133
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Amanda Montalvo Dmd 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.

Medicare Billing Reassignment

Medicare enrollment records show Amanda Montalvo reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Delaware Valley Community Health, Inc.
Same address
Federally Qualified Health Center (FQHC)
400 W ALLEGHENY AVE BLDG 3
Philadelphia, PA 19133
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 76 clinicians in this Medicare group
NPI 1326711722 (215) 546-7501

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19133 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
$92.69 typical visit price
range $59.88 – $180.99
Typical copayment $23.17 (range $14.97 – $45.24)
Most-billed visit code 99203
Established Patient
$74.47 typical visit price
range $19.30 – $147.29
Typical copayment $18.61 (range $4.82 – $36.82)
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 20

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

NAOMI B WALINSKY-KING M.D.
Family Medicine
401 W ALLEGHENY AVE
PHILADELPHIA, PA 19133
Philadelphia County (215) 291-2500
ERIKA RAMOS
Registered Nurse
401 W ALLEGHENY AVE
PHILADELPHIA, PA 19133
Philadelphia County (215) 291-2500
VANESSA HOOD DO
Student in an Organized Health Care Education/Training Program
401 W ALLEGHENY AVE
PHILADELPHIA, PA 19133
Philadelphia County (215) 291-2500
EVAN RYAN GOOBERMAN DO, MPH
Family Medicine
401 W ALLEGHENY AVE
PHILADELPHIA, PA 19133
Philadelphia County (215) 291-2500
KELLY STRIKER PA-C
Physician Assistant (Medical)
401 W ALLEGHENY AVE
PHILADELPHIA, PA 19133
Philadelphia County (215) 291-2500
MELISSA CRUZ L.C.S.W.
Social Worker (Clinical)
401 W ALLEGHENY AVE
PHILADELPHIA, PA 19133
Philadelphia County (215) 291-2100
ERIC QUINN PA-C
Physician Assistant
401 W ALLEGHENY AVE
PHILADELPHIA, PA 19133
Philadelphia County (215) 291-2500
CAITLIN JAMIE WEISS MD
Family Medicine
401 W ALLEGHENY AVE
PHILADELPHIA, PA 19133
Philadelphia County (215) 291-2500

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 Amanda Montalvo's NPI number?

The NPI number for Amanda Montalvo is 1700364148. It was assigned to this individual provider in the NPPES registry on July 28, 2018.

Where is Amanda Montalvo located?

Amanda Montalvo practices at 401 W Allegheny Ave, Philadelphia, PA 19133. The listed phone number is (215) 291-2500.

What is Amanda Montalvo's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Amanda Montalvo enrolled in Medicare?

Yes. Amanda Montalvo is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Amanda Montalvo's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Amanda Montalvo reassigns Medicare benefits to Delaware Valley Community Health, Inc. (Philadelphia, PA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Amanda Montalvo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Amanda Montalvo accept?

Health plans from BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and EMI Health and 6 other insurers list Amanda Montalvo 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 Amanda Montalvo was last updated on September 2, 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.