Active NPI
Montage Monitoring, PLLC
- Clinical Neurophysiology Physician
- Dallas, TX
National Provider Identifier
1457824062
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Neurophysiology Physician
- Legal business name
- MONTAGE MONITORING, PLLC
- Practice address
- 2911 Turtle Creek Blvd, Suite 300
Dallas, TX 75219 - Phone
- (210) 598-4277
- NPI assigned
- Jan 7, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Roxanna Laroque
- Title
- Director of Client Experience
- Phone
- (210) 598-4277
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Electrodiagnostic Medicine Physician | 204R00000X | |||
| Neurology Physician | 2084N0400X | |||
| Clinical Neurophysiology Physician | 2084N0600X | Primary | ||
| Electroneurodiagnostic Specialist/Technologist | 246ZE0600X |
Addresses
Primary practice location
2911 Turtle Creek Blvd, Suite 300
Dallas, TX 75219
Mailing address
1141 N Loop 1604 E #105-612
San Antonio, TX 78232
Phone (210) 598-4277
National Provider Directory
National Provider DirectoryLocations
5930 Royal Ln
Ste 215
Dallas, TX 75230
5930 Royal Ln
Ste E215
Dallas, TX 75230
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1546819200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1658188800000",
"number": "1457824062",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1141 N LOOP 1604 E #105-612",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "78232",
"telephone_number": "210-598-4277"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2911 TURTLE CREEK BLVD, SUITE 300",
"city": "DALLAS",
"state": "TX",
"postal_code": "75219",
"telephone_number": "210-598-4277"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MONTAGE MONITORING, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-01-07",
"last_updated": "2022-07-19",
"certification_date": "2022-07-19",
"status": "A",
"authorized_official_last_name": "LAROQUE",
"authorized_official_first_name": "ROXANNA",
"authorized_official_title_or_position": "DIRECTOR OF CLIENT EXPERIENCE",
"authorized_official_telephone_number": "210-598-4277"
},
"taxonomies": [
{
"code": "204R00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Electrodiagnostic Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Neurology",
"state": null,
"license": null,
"primary": false
},
{
"code": "2084N0600X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Clinical Neurophysiology",
"state": null,
"license": null,
"primary": true
},
{
"code": "246ZE0600X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Specialist/Technologist, Other, Electroneurodiagnostic",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.