Active NPI
Meghan Montoya, DDS
- Endodontics
- Santa Fe, NM
National Provider Identifier
1861950370
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- DD5670
- Practice address
- 1692B Hospital Dr Ste 201B
Santa Fe, NM 87505-4825 - Phone
- (505) 925-4031
- NPI assigned
- Mar 5, 2019
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | TD-00-114 | ||
| Student in an Organized Health Care Education/Training Program | 390200000X | NM | ||
| Endodontics | 1223E0200X | DD5670 | NM | Primary |
Addresses
Primary practice location
1692B Hospital Dr Ste 201B
Santa Fe, NM 87505-4825
Mailing address
1692B Hospital Dr Ste 201B
Santa Fe, NM 87505-4825
Phone (505) 925-4031
Other practice location 1
801 Camino de Salud
Albuquerque, NM 87102
Phone (505) 925-4031
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NM
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20191014001581 | NM | Order and Referring Only - Dentist | 3870824402 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DD5670 | NM | MD | Endodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1551744000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658707200000",
"number": "1861950370",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1692B HOSPITAL DR STE 201B",
"city": "SANTA FE",
"state": "NM",
"postal_code": "875054825",
"telephone_number": "505-925-4031"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1692B HOSPITAL DR STE 201B",
"city": "SANTA FE",
"state": "NM",
"postal_code": "875054825",
"telephone_number": "505-925-4031"
}
],
"practiceLocations": [
{
"address_1": "801 Camino de Salud",
"address_purpose": "LOCATION",
"city": "Albuquerque",
"state": "NM",
"postal_code": "87102",
"country_code": "US",
"telephone_number": "505-925-4031",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MONTOYA",
"first_name": "MEGHAN",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-03-05",
"last_updated": "2022-07-25",
"certification_date": "2022-07-25",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": "TD-00-114",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NM",
"license": null,
"primary": false
},
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "NM",
"license": "DD5670",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Santa Fe, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2022; 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.