Active NPI
Juliana Christine Montooth
- Family Medicine Physician
- Dillingham, AK
National Provider Identifier
1760465181
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 4940
- Practice address
- 6000 Kanakanak Rd
Dillingham, AK 99576 - Phone
- (907) 842-5201
- Fax
- (907) 842-9250
- NPI assigned
- Nov 21, 2005
- Last updated
- Feb 29, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 4940 | AK | Primary |
Addresses
Primary practice location
6000 Kanakanak Rd
Dillingham, AK 99576
Mailing address
PO Box 130
Dillingham, AK 99576-0130
Phone (907) 842-5201
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MD44134 | Medicaid | AK |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
Interoperability endpoints
- https://api.platform.athenahealth.com/15729/brand/1/csg/1/fhir/r4
Organizations & group practices 24
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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- NPI 1285796870
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- NPI 1366502767
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- NPI 1417018193
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- Twin Hills, AK
- NPI 1487716825
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- Egegik, AK
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- Clinic/Center
- New Stuyahok, AK
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132531200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1330473600000",
"number": "1760465181",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 130",
"city": "DILLINGHAM",
"state": "AK",
"postal_code": "995760130",
"telephone_number": "907-842-5201"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6000 KANAKANAK RD",
"city": "DILLINGHAM",
"state": "AK",
"postal_code": "99576",
"telephone_number": "907-842-5201",
"fax_number": "907-842-9250"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MONTOOTH",
"first_name": "JULIANA",
"middle_name": "CHRISTINE",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-11-21",
"last_updated": "2012-02-29",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "AK",
"license": "4940",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "MD44134",
"state": "AK"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Dillingham, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2012; 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.