Active NPI
David C Montiel, MD
- Vascular & Interventional Radiology Physician
- Montgomery, AL
National Provider Identifier
1003800418
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular & Interventional Radiology Physician
- License
- 6280
- Practice address
- 2055 Normandie Dr
Suite 108
Montgomery, AL 36111-2732 - Phone
- (334) 288-4624
- Fax
- (334) 280-3628
- NPI assigned
- Aug 31, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neuroradiology Physician | 2085N0700X | 00006280 | AL | |
| Neuroradiology Physician | 2085N0700X | ME89649 | FL | |
| Neuroradiology Physician | 2085N0700X | 020134 | GA | |
| Diagnostic Radiology Physician | 2085R0202X | 00006280 | AL | |
| Diagnostic Radiology Physician | 2085R0202X | ME89649 | FL | |
| Diagnostic Radiology Physician | 2085R0202X | 020134 | GA | |
| Vascular & Interventional Radiology Physician | 2085R0204X | 6280 | AL | Primary |
Addresses
Primary practice location
2055 Normandie Dr
Suite 108
Montgomery, AL 36111-2732
Mailing address
2055 Normandie Dr
Suite 108
Montgomery, AL 36111-2732
Phone (334) 269-6337
Other identifiers 18
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000045273 | Medicaid | AL | |
| 000045276 | Medicaid | AL | |
| 000085890 | Medicaid | AL | |
| 009930795 | Medicaid | AL | |
| 000058867 | Other | AL | IDTF |
| 009922295 | Medicaid | AL | |
| 000058866 | Other | AL | IDTF |
| 009965355 | Medicaid | AL | |
| 009972590 | Medicaid | AL | |
| 270031000 | Medicaid | FL | |
| 000083547 | Medicaid | AL | |
| 108068 | Medicaid | AL | |
| 108176 | Medicaid | AL | |
| 000045274 | Medicaid | AL | |
| 009928405 | Medicaid | AL | |
| 051504364 | Other | AL | IDTF |
| 106708 | Medicaid | AL | |
| 106710 | Medicaid | AL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00006280 | AL | MD | Neuroradiology Physician |
| 020134 | GA | MD | Neuroradiology Physician |
| ME89649 | FL | MD | Diagnostic Radiology Physician |
| 6280 | AL | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Radiology Group of West Florida Inc | Past | Accepting new patients | |
| Open MRI of Tifton LLC | Past | Accepting new patients | |
| The East Alabama Health Care Authority | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
dba East Alabama Apothecary Store 1
- Community/Retail Pharmacy
- Opelika, AL
- NPI 1215089305
-
- Magnetic Resonance Imaging (MRI) Clinic/Center
- Tifton, GA
- NPI 1679542526
-
- Specialist
- Pensacola, FL
- NPI 1154378800
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1125446400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1467244800000",
"number": "1003800418",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2055 NORMANDIE DR",
"address_2": "SUITE 108",
"city": "MONTGOMERY",
"state": "AL",
"postal_code": "361112732",
"telephone_number": "334-269-6337",
"fax_number": "334-834-0657"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2055 NORMANDIE DR",
"address_2": "SUITE 108",
"city": "MONTGOMERY",
"state": "AL",
"postal_code": "361112732",
"telephone_number": "334-288-4624",
"fax_number": "334-280-3628"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MONTIEL",
"first_name": "DAVID",
"middle_name": "C",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-08-31",
"last_updated": "2016-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "2085N0700X",
"taxonomy_group": "",
"desc": "Radiology, Neuroradiology",
"state": "AL",
"license": "00006280",
"primary": false
},
{
"code": "2085N0700X",
"taxonomy_group": "",
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"state": "FL",
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"primary": false
},
{
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"taxonomy_group": "",
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"state": "GA",
"license": "020134",
"primary": false
},
{
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},
{
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},
{
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},
{
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"primary": true
}
],
"identifiers": [
{
"code": "05",
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"issuer": null,
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},
{
"code": "05",
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"issuer": null,
"identifier": "000045276",
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},
{
"code": "05",
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"issuer": null,
"identifier": "000085890",
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},
{
"code": "05",
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"issuer": null,
"identifier": "009930795",
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},
{
"code": "01",
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"issuer": "IDTF",
"identifier": "000058867",
"state": "AL"
},
{
"code": "05",
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"issuer": null,
"identifier": "009922295",
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},
{
"code": "01",
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"issuer": "IDTF",
"identifier": "000058866",
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{
"code": "05",
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"issuer": null,
"identifier": "009965355",
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},
{
"code": "05",
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"issuer": null,
"identifier": "009972590",
"state": "AL"
},
{
"code": "05",
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"issuer": null,
"identifier": "270031000",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000083547",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "108068",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "108176",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000045274",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "009928405",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IDTF",
"identifier": "051504364",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "106708",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "106710",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Montgomery, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.