Active NPI
Xiaokun Montez, M.D, PHD
- Pediatrics Physician
- Las Vegas, NV
National Provider Identifier
1801867668
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 14576
- Practice address
- 10105 Banburry Cross Drive
Suite 370
Las Vegas, NV 89144-6649 - Phone
- (702) 260-4525
- Fax
- (702) 869-0133
- NPI assigned
- Jan 30, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 200500963 | NC | |
| Pediatrics Physician | 208000000X | 14576 | NV | Primary |
Addresses
Primary practice location
10105 Banburry Cross Drive
Suite 370
Las Vegas, NV 89144-6649
Mailing address
10105 Banburry Cross Drive
Suite 370
Las Vegas, NV 89144-6649
Phone (702) 260-4525
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5901128 | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 033 | WY | MD | Clinical Social Worker |
| 200500963 | NC | MD | Pediatrics Physician |
| 14576 | NV | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138579200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1458691200000",
"number": "1801867668",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10105 BANBURRY CROSS DRIVE",
"address_2": "SUITE 370",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891446649",
"telephone_number": "702-260-4525",
"fax_number": "702-869-0133"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10105 BANBURRY CROSS DRIVE",
"address_2": "SUITE 370",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891446649",
"telephone_number": "702-260-4525",
"fax_number": "702-869-0133"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MONTEZ",
"first_name": "XIAOKUN",
"credential": "M.D, PHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-01-30",
"last_updated": "2016-03-23",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NC",
"license": "200500963",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NV",
"license": "14576",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5901128",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.