Individual provider Active NPI

Eric Montie, DC

  • Chiropractor
  • Waunakee, WI
National Provider Identifier
1134588841
Registry record updated Feb 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5165 Issued in WI
Practice address
105 Baker St
Ste 1
Waunakee, WI 53597-1111
Phone
(608) 393-4596
NPI assigned
Feb 23, 2016
Last updated
Feb 23, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 5165 WI Primary

Addresses

Primary practice location

105 Baker St
Ste 1
Waunakee, WI 53597-1111

Mailing address

105 Baker St
Ste 1
Waunakee, WI 53597-1111
Phone (608) 393-4596

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160503000809 WI Practitioner - Chiropractic 4183923733 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2015
Medicare assignment
May accept Medicare assignment
Group practices
Montie Enterprises LLCGroup PAC ID 3274832829, 2 clinicians

Practice addresses (Care Compare)

105 Baker St
Waunakee, WI 53597-1111
Phone (608) 850-7300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Montie Enterprises LLC Chiropractor CurrentSince Mar 30, 2016 Accepting new patients

Locations

105 Baker St
Waunakee, WI 53597
Phone (608) 850-7300

105 Baker St
#1
Waunakee, WI 53597
Phone (608) 393-4596

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1456185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456185600000",
    "number": "1134588841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 BAKER ST",
            "address_2": "STE 1",
            "city": "WAUNAKEE",
            "state": "WI",
            "postal_code": "535971111",
            "telephone_number": "608-393-4596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 BAKER ST",
            "address_2": "STE 1",
            "city": "WAUNAKEE",
            "state": "WI",
            "postal_code": "535971111",
            "telephone_number": "608-393-4596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTIE",
        "first_name": "ERIC",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-02-23",
        "last_updated": "2016-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "5165",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waunakee, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.