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Dr. Montez Delver Hallback , DMD

Dentist - General Practice β€’ Auburn, MA

Active NPI 1477398196 Individual Practitioner Male Practitioner
Practice location in NPPES

434 Southbridge St Ste B
Auburn, MA 015014423

Call 5087526649 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

434 Southbridge St Ste B

Auburn, MA 015014423

Telephone 5087526649
Organization at the Same NPPES Address or Phone
Jasmin Henville Dmd Pc Facility NPI 1033479019

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Medical School

Tufts University School Of Dental Medicine

Graduation Year

2024

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2019–2025.

Guide: How to read an Open Payments record

Years since graduation

2 years (graduated 2024)

CMS Doctors and Clinicians data list 2024 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2024

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

May accept Medicare assignment

CMS data show this clinician may accept Medicare assignment. Clinicians who do not always accept assignment can decide case by case.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Dr. Hallback has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Dr. Hallback as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Auburn and Massachusetts

15 active clinicians are listed under Dentist - General Practice with a practice address in Auburn, MA (3,491 in Massachusetts).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Auburn

0% of these 15 clinicians have the CMS telehealth indicator.

0% of these 15 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2024-11-19
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

License # reported to NPPES VA 0401419233

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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Massachusetts Board of Registration in Medicine.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - DENTIST

Medicare Enrollment ID

I20250731000067

Enrollment State Jurisdiction

VA

PECOS Control ID

8628585890

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Not Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

5 listed
NPI 1023459450
Dr. Aaron Lee , DDS

Dentist - General Practice

NPI 1568105609

Doctor of Dental Surgery

NPI 1821780156

Doctor of Dental Medicine

Dr. Tracy Redden , DMD

Dentist - General Practice

NPI 1710473376

Doctor of Dental Medicine

Dr. Marisol Uribe , DMD

Dentist - General Practice

NPI 1861170516

Doctor of Dental Medicine

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

7 Historical Events
πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) November 19, 2024

Dentist (license number reported to NPPES: VA 0401419233)

βœ…
NPI Profile Active June 25, 2024

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) June 25, 2024

Registered at 434 SOUTHBRIDGE ST STE B, AUBURN, MA 015014423 (Tel: 5087526649)

πŸ“
Business Mailing Address (Initial Record) June 25, 2024

Registered at 434 SOUTHBRIDGE ST STE B, AUBURN, MA 015014423 (Tel: 5087526649)

πŸ‘€
Provider Name / Credentials (Initial Record) June 25, 2024

Recorded as MONTEZ HALLBACK, DMD

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) June 25, 2024

Student in an Organized Health Care Education/Training Program

🟒
Initial NPI Registration & Enumeration June 25, 2024

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1477398196
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 25, 2024
Last Update: November 19, 2024
Sole Proprietor: No

Other Dentist - General Practices in Auburn

All Dentist - General Practices in Auburn

Mailing Address

434 Southbridge St Ste B

Auburn, MA 015014423

Phone: 5087526649

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.