Miguel Montoya, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

60075 Issued in CA

Practice address

82204 US Highway 111
Indio, CA 92201-5630

Phone

(760) 775-5552

Fax

(760) 841-1982

NPI assigned

Dec 10, 2010

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

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Miguel Montoya DDS, Inc

  • General Practice Dentistry
  • Escondido, CA
  • NPI 1669874814
  NPD (past) Authorized official
• Beatriz Vidales DDS, Inc

  • Preferred Provider Organization
  • Escondido, CA
  • NPI 1730291832
  NPD (past)

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

{
    "created_epoch": "1291939200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487289600000",
    "number": "1386947497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "725 N QUINCE ST",
            "address_2": "STE 101",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920251680",
            "telephone_number": "760-743-6790",
            "fax_number": "760-743-2874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "82204 US HIGHWAY 111",
            "city": "INDIO",
            "state": "CA",
            "postal_code": "922015630",
            "telephone_number": "760-775-5552",
            "fax_number": "760-841-1982"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTOYA",
        "first_name": "MIGUEL",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-12-10",
        "last_updated": "2017-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "60075",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Berenice Montoya
• Ernesto Montoya, PTLA
• Fernando Montoya
• Marisa Montoya, LCSW
• Marlene Jimenez Montoya
• Jennifer Monzon
• Dominic J Moore
• Brenda Moorehouse
• Edna Isbel Mora-Luque
• Irene Mora

• General Practice Dentistry in Indio, CA
• Providers in Indio, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.