Active NPI
Joe Montes de Oca, NP
- Nurse Practitioner
- Roswell, GA
National Provider Identifier
1164143517
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- RN302741
- Practice address
- 11650 Alpharetta Hwy Ste 100
Roswell, GA 30076-3805 - Phone
- (404) 596-5670
- Fax
- (404) 334-0479
- NPI assigned
- Sep 5, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN302741 | GA | |
| Nurse Practitioner | 363L00000X | RN302741 | GA | Primary |
Addresses
Primary practice location
11650 Alpharetta Hwy Ste 100
Roswell, GA 30076-3805
Mailing address
11650 Alpharetta Hwy Ste 100
Roswell, GA 30076-3805
Phone (404) 596-5670
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RN302741 | Other | GA | RN LICENSE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Questionnaires | Direct |
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)
- Not enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN302741 | GA | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1662336000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1662681600000",
"number": "1164143517",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11650 ALPHARETTA HWY STE 100",
"city": "ROSWELL",
"state": "GA",
"postal_code": "300763805",
"telephone_number": "404-596-5670",
"fax_number": "404-334-0479"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11650 ALPHARETTA HWY STE 100",
"city": "ROSWELL",
"state": "GA",
"postal_code": "300763805",
"telephone_number": "404-596-5670",
"fax_number": "404-334-0479"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MONTES DE OCA",
"first_name": "JOE",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-09-05",
"last_updated": "2022-09-09",
"certification_date": "2022-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "GA",
"license": "RN302741",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "GA",
"license": "RN302741",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RN LICENSE",
"identifier": "RN302741",
"state": "GA"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Questionnaires",
"affiliation": "N",
"endpointDescription": "ENCRYPTED E-MAILING SERVICE",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Questionnaires",
"address_1": "11650 Alpharetta Hwy Ste 100",
"city": "Roswell",
"state": "GA",
"country_code": "US",
"postal_code": "300763805",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Roswell, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.