IndividualActive
Carlos Montalvo, IDC
NPI 1114133113 · Dental Hygienist · San Diego, CA
Provider details
- NPI number
- 1114133113
- Entity type
- Individual
- Primary specialty
- Dental HygienistDental Providers
- Credential
- IDC
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Dental Providers
- Independent Duty Corpsman1710I1002X
Other Service Providers
Profile Score
Detailed profile(87/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2700 Adams Ave Ste 209
San Diego, CA 92116-1367
Phone: (619) 647-4599
Fax: (888) 323-3119
Street-level locationGet directions
Mailing address
2700 Adams Ave Ste 209
San Diego, CA 92116-1367
Additional practice locations (1)
- 4508 Timken TrlFort Worth, TX 76137-6144Phone: (817) 782-5914
Registry dates
- Enumerated
- 2007-05-15
- Last updated
- 2022-11-07
- Certified
- 2022-11-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.