Organization Active NPI

Eduardo Montes DPM PLLC

  • Podiatrist
  • Sierra Vista, AZ
National Provider Identifier
1093069601
Registry record updated Nov 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
519 Issued in AZ
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

Updated by the provider on Nov 5, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Eduardo Montes, DPMNPI 1134183031
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)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 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 IDStateProvider typePAC IDDetails
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 Directory

Locations

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.

Verify at the official NPI Registry.