Individual provider Active NPI

Kirstein M Montoya

  • Phlebology Physician
  • El Reno, OK
National Provider Identifier
1255965992
Registry record updated Mar 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Phlebology PhysicianTaxonomy code 202K00000X
License
K8D7D5Y9 Issued in KS
Practice address
7777 E US Highway 66
El Reno, OK 73036-9125
Phone
(405) 422-8800
Fax
(405) 422-8818
NPI assigned
Mar 2, 2020
Sex
Female
Sole proprietor
No

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

State licenses

LicenseStateTypeSpecialty
K8D7D5Y9KSMDPhlebology Physician

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Phlebology Physician 202K00000X K8D7D5Y9 KS Primary

Addresses

NPPES NPI Registry

Primary practice location

7777 E US Highway 66
El Reno, OK 73036-9125

Mailing address

7777 E US Highway 66
El Reno, OK 73036-9125
Phone (405) 422-8800

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 2, 2020.

{
    "created_epoch": "1583107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583107200000",
    "number": "1255965992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7777 E US HIGHWAY 66",
            "city": "EL RENO",
            "state": "OK",
            "postal_code": "730369125",
            "telephone_number": "405-422-8800",
            "fax_number": "405-422-8818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7777 E US HIGHWAY 66",
            "city": "EL RENO",
            "state": "OK",
            "postal_code": "730369125",
            "telephone_number": "405-422-8800",
            "fax_number": "405-422-8818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTOYA",
        "first_name": "KIRSTEIN",
        "middle_name": "M",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-02",
        "last_updated": "2020-03-02",
        "certification_date": "2020-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "202K00000X",
            "taxonomy_group": "",
            "desc": "Phlebology",
            "state": "KS",
            "license": "K8D7D5Y9",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Reno, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2020; 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.