Active NPI
Joseph Robert Montante, M.D.
- Adult Medicine Physician
- Boulder, CO
National Provider Identifier
1275740706
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128a(3) exclusion effective Feb 19, 2015.
Key facts
NPPES NPI Registry- Primary specialty
- Adult Medicine Physician
- License
- 22290
- Practice address
- 4740 Table Mesa Dr
Suite C
Boulder, CO 80305-4505 - Phone
- (720) 304-6539
- Fax
- (720) 304-6527
- NPI assigned
- May 16, 2007
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 22290 | CO | |
| Adult Medicine Physician | 207QA0505X | 22290 | CO | Primary |
Addresses
Primary practice location
4740 Table Mesa Dr
Suite C
Boulder, CO 80305-4505
Mailing address
4740 Table Mesa Dr
Suite C
Boulder, CO 80305-4505
Phone (720) 304-6539
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
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22290 | CO | MD | Adult Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179273600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1275740706",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4740 TABLE MESA DR",
"address_2": "SUITE C",
"city": "BOULDER",
"state": "CO",
"postal_code": "803054505",
"telephone_number": "720-304-6539"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4740 TABLE MESA DR",
"address_2": "SUITE C",
"city": "BOULDER",
"state": "CO",
"postal_code": "803054505",
"telephone_number": "720-304-6539",
"fax_number": "720-304-6527"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MONTANTE",
"first_name": "JOSEPH",
"middle_name": "ROBERT",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-16",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CO",
"license": "22290",
"primary": false
},
{
"code": "207QA0505X",
"taxonomy_group": "",
"desc": "Family Medicine, Adult Medicine",
"state": "CO",
"license": "22290",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boulder, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.