Organization Active NPI

Montezuma Hearing Clinic, Inc.

  • Audiologist
  • Cortez, CO
National Provider Identifier
1356525232
Registry record updated Jan 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
343 Issued in CO
Legal business name
MONTEZUMA HEARING CLINIC, INC.
Practice address
892 Cottonwood St Ste 2
Cortez, CO 81321-2200
Phone
(970) 565-4655
Fax
(970) 238-2630
NPI assigned
Dec 27, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2022

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

Authorized official

Name
Dr. Lucia Ann Arriola-Story, AU.D.NPI 1962428151
Title
Doctor of Audiology
Phone
(970) 565-4655

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AudiologistGroup: 193200000X MULTI-SPECIALTY GROUP 231H00000X 343 CO Primary

Addresses

Primary practice location

892 Cottonwood St Ste 2
Cortez, CO 81321-2200

Mailing address

892 Cottonwood St Ste 2
Cortez, CO 81321-2200
Phone (970) 565-4655

Other identifiers 1

IdentifierTypeStateIssuer
92804349MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, UT, NM3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20040827000236 CO Part B Supplier - Clinic/Group Practice 0941275614 Receives reassigned benefits from 2 practitioners
Practice locations: Cortez, CO; Durango, CO
O20160331000436 UT Part B Supplier - Clinic/Group Practice 0941275614 Receives reassigned benefits from 1 practitioner
Practice locations: Blanding, UT
O20230109000224 NM Part B Supplier - Clinic/Group Practice 0941275614 Receives reassigned benefits from 1 practitioner
Practice locations: Farmington, NM

National Provider Directory

National Provider Directory

Locations

892 Cottonwood St
#2
Cortez, CO 81321
Phone (970) 565-4655

892 Cottonwood St
Ste 2
Cortez, CO 81321
Phone (970) 565-4655

2423 E Main St
Ste 1
Cortez, CO 81321
Phone (970) 565-4655

892 Cottonwood St
Cortez, CO 81321
Phone (970) 565-4655

1165 S Camino del Rio
Ste 200
Durango, CO 81303
Phone (970) 247-2920

2355 E 30th St
Farmington, NM 87401
Phone (505) 325-7474

799 S 200 W
Blanding, UT 84511
Phone (435) 678-3601

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1198713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641945600000",
    "number": "1356525232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "892 COTTONWOOD ST STE 2",
            "city": "CORTEZ",
            "state": "CO",
            "postal_code": "813212200",
            "telephone_number": "970-565-4655",
            "fax_number": "970-238-2630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "892 COTTONWOOD ST STE 2",
            "city": "CORTEZ",
            "state": "CO",
            "postal_code": "813212200",
            "telephone_number": "970-565-4655",
            "fax_number": "970-238-2630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONTEZUMA HEARING CLINIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-27",
        "last_updated": "2022-01-12",
        "certification_date": "2022-01-12",
        "status": "A",
        "authorized_official_last_name": "ARRIOLA-STORY",
        "authorized_official_first_name": "LUCIA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "DOCTOR OF AUDIOLOGY",
        "authorized_official_telephone_number": "970-565-4655",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "AU.D."
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Audiologist",
            "state": "CO",
            "license": "343",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "92804349",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cortez, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.