Jared A Montano, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

DD3676 Issued in NM

Practice address

214 W Aztec Ave
Gallup, NM 87301-6302

Phone

(505) 863-4457

NPI assigned

Jun 18, 2012

Last updated

Jun 18, 2012By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Dental Innovations of Gallup

  • General Practice Dentistry
  • Gallup, NM
  • NPI 1528315074
  NPD (past)

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

{
    "created_epoch": "1339977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339977600000",
    "number": "1215290044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "214 W AZTEC AVE",
            "city": "GALLUP",
            "state": "NM",
            "postal_code": "873016302",
            "telephone_number": "505-863-4457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 W AZTEC AVE",
            "city": "GALLUP",
            "state": "NM",
            "postal_code": "873016302",
            "telephone_number": "505-863-4457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTANO",
        "first_name": "JARED",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-06-18",
        "last_updated": "2012-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NM",
            "license": "DD3676",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ursula D Monroe
• William Kimbro Monroe, RN
• Clara Elena Monsivais
• Bernie Montano, LSAA
• Erin Maille Montano, D.D.S.
• Eileen Y Montoya
• Janelle Montoya
• Brenda Kay Moore, DO
• Jennifer Marie Moore, RN, BSN
• Patrick Seth Moore

• Dentist in Gallup, NM
• Providers in Gallup, NM by specialty
• Dentist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.