Individual provider Active NPI

Erick Noel Montoya Roll, SA-C

  • Surgical Assistant
  • Houston, TX
National Provider Identifier
1841704236
Registry record updated Nov 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical AssistantTaxonomy code 246ZC0007X
License
15-400 Issued in TX
Practice address
2502 Westerland Dr Apt 362
Houston, TX 77063-2217
Phone
(505) 659-1762
NPI assigned
Nov 22, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 4, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Assistant 246ZC0007X 15-400 TX Primary

Addresses

Primary practice location

2502 Westerland Dr Apt 362
Houston, TX 77063-2217

Mailing address

5760 Gulfton St Apt 1549
Houston, TX 77081-2648
Phone (505) 659-1762

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

State licenses

LicenseStateTypeSpecialty
15-400TXMDSurgical Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Montoya Surgical Services CurrentSince Nov 19, 2023 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1511308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699056000000",
    "number": "1841704236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5760 GULFTON ST APT 1549",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770812648",
            "telephone_number": "505-659-1762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2502 WESTERLAND DR APT 362",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770632217",
            "telephone_number": "505-659-1762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTOYA ROLL",
        "first_name": "ERICK",
        "middle_name": "NOEL",
        "credential": "SA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-11-22",
        "last_updated": "2023-11-04",
        "certification_date": "2023-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZC0007X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": "TX",
            "license": "15-400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.