AMANDA MONTALVO DMD
NPI 1700364148
Dentist in Philadelphia, PA

Q: 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.

Q: What is Amanda Montalvo's specialty?

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

Q: 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 4 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 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: August 09, 2026.

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

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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 Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware 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)

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.

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.

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