Individual provider Active NPI

Meghan Montoya, DDS

  • Endodontics
  • Santa Fe, NM
National Provider Identifier
1861950370
Registry record updated Jul 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
DD5670 Issued in NM
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

Updated by the provider on Jul 25, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191014001581 NM Order and Referring Only - DentistPractitioner - Dentist 3870824402

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DD5670NMMDEndodontist

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

Verify at the official NPI Registry.