Montagnas Shoes Inc

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

License

1181 Issued in VA

Legal business name

MONTAGNAS SHOES INC

Practice address

752 Independence Blvd
Montagnas Shoes
Virginia Beach, VA 23455

Phone

(757) 490-2034

Fax

(757) 499-5465

NPI assigned

Apr 18, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Lucian F Montagna Jr., BOARD CERT PEDORTHIS

Title

President

Phone

(757) 490-2034

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Locations

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

{
    "created_epoch": "1145318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1508821117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "752 INDEPENDENCE BLVD",
            "address_2": "PEMBROKE MEADOWS SHOP CENTER",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "23455",
            "telephone_number": "757-490-2034",
            "fax_number": "757-499-5465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "752 INDEPENDENCE BLVD",
            "address_2": "MONTAGNAS SHOES",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "23455",
            "telephone_number": "757-490-2034",
            "fax_number": "757-499-5465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONTAGNAS SHOES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MONTAGNA",
        "authorized_official_first_name": "LUCIAN",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "757-490-2034",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "BOARD CERT PEDORTHIS"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "VA",
            "license": "1181",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SENTARA",
            "identifier": "16367",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "287425",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Raquel S Monell, MA, NCC, LPC
• Christine Monpoint Marsan, LCSW
• Michael Monroe, IDC
• Nelson G. Monroy, M.D.
• Jeremy Monsanto
• Samantha Montalbano
• Noeris Montanez, LPC
• Shannon Desiree Monteiro, MA, LMHP-R
• Anna Maria Montemayor, CSFA
• Ariana Montemayor, RN

• Prosthetic/Orthotic Supplier in Virginia Beach, VA
• Providers in Virginia Beach, VA by specialty
• Prosthetic/Orthotic Supplier in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.