Monticello Montessori Charter School, Inc

Primary specialty

Local Education Agency (LEA)Taxonomy code 251300000X

Legal business name

MONTICELLO MONTESSORI CHARTER SCHOOL, INC

Practice address

2184 Channing Way # 101
Idaho Falls, ID 83404-8034

Phone

(208) 419-0742

NPI assigned

Dec 2, 2010

Last updated

Dec 2, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

David Meyer

Title

Superintendent

Phone

(208) 412-0742

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1291248000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291248000000",
    "number": "1316249931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2184 CHANNING WAY # 101",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834048034",
            "telephone_number": "208-419-0742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2184 CHANNING WAY # 101",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834048034",
            "telephone_number": "208-419-0742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONTICELLO MONTESSORI CHARTER SCHOOL, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-02",
        "last_updated": "2010-12-02",
        "status": "A",
        "authorized_official_last_name": "MEYER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "SUPERINTENDENT",
        "authorized_official_telephone_number": "208-412-0742"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Christian D Monson, M.D.
• Itzel Montero
• Steveb John Moody, LPC
• Adam Moon, BS
• Aimee Moon, M.S., CCC-SLP
• McKenzie J Moon
• Shannon Mooney, BEHAVIOR SPECIALIST

• Local Education Agency (LEA) in Idaho Falls, ID
• Providers in Idaho Falls, ID by specialty
• Local Education Agency (LEA) in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2010; 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.