Active NPI
Eduardo Montes DPM PLLC
- Podiatrist
- Sierra Vista, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 519
- Legal business name
- EDUARDO MONTES DPM PLLC
- Practice address
- 2480 E Wilcox Dr
Sierra Vista, AZ 85635-2841 - Phone
- (520) 227-1730
- Fax
- (800) 530-9132
- NPI assigned
- Nov 5, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Eduardo Montes, DPM
- Title
- Owner
- Phone
- (520) 227-1730
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 519 | AZ | Primary |
Addresses
Primary practice location
2480 E Wilcox Dr
Sierra Vista, AZ 85635-2841
Mailing address
2480 E Wilcox Dr
Sierra Vista, AZ 85635-2841
Phone (520) 227-1730
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20130411000081 | AZ | Part B Supplier - Clinic/Group Practice | 6305090952 |
Receives reassigned benefits from 1 practitioner Practice locations: Sierra Vista, AZ |
National Provider Directory
National Provider DirectoryLocations
2151 S Highway 92
Ste 114
Sierra Vista, AZ 85635
Phone (520) 417-3080
2131 S Hwy 92 Hwy
Ste 114
Sierra Vista, AZ 85635
2480 E Wilcox Dr
Sierra Vista, AZ 85635
Phone (520) 417-1133
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1352073600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1352073600000",
"number": "1093069601",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2480 E WILCOX DR",
"city": "SIERRA VISTA",
"state": "AZ",
"postal_code": "856352841",
"telephone_number": "520-227-1730",
"fax_number": "800-530-9132"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2480 E WILCOX DR",
"city": "SIERRA VISTA",
"state": "AZ",
"postal_code": "856352841",
"telephone_number": "520-227-1730",
"fax_number": "800-530-9132"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EDUARDO MONTES DPM PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2012-11-05",
"last_updated": "2012-11-05",
"status": "A",
"authorized_official_last_name": "MONTES",
"authorized_official_first_name": "EDUARDO",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "520-227-1730",
"authorized_official_credential": "DPM"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Podiatrist",
"state": "AZ",
"license": "519",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sierra Vista, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.