Jairo Montoya, DDS

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

0401416664 Issued in VA

Practice address

6245 Rufe Snow Dr Ste 240
Watauga, TX 76148-3350

Phone

(817) 985-7550

NPI assigned

Jul 17, 2019

Last updated

Oct 23, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• JMF Group Inc

  dba Aviator Pediatric Dentistry

  • Pediatric Dentistry
  • Watauga, TX
  • NPI 1932810363
  NPD Authorized official

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

{
    "created_epoch": "1563321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666483200000",
    "number": "1942853155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6245 RUFE SNOW DR STE 240",
            "city": "WATAUGA",
            "state": "TX",
            "postal_code": "761483350",
            "telephone_number": "817-985-7550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6245 RUFE SNOW DR STE 240",
            "city": "WATAUGA",
            "state": "TX",
            "postal_code": "761483350",
            "telephone_number": "817-985-7550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTOYA",
        "first_name": "JAIRO",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-07-17",
        "last_updated": "2022-10-23",
        "certification_date": "2022-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "VA",
            "license": "0401416664",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Miles Dental
• Billy Wayne Miles, DDS
• Jacob Wayne Miller, LMT
• Kaitlin Mitchell
• Alexis M Moffitt
• Tamra Joy Montroy, D.D.S.
• James Kharnplay Morris
• Patrick Anthony Moya, CST/CFA
• Michele Moran Mrachek, R.PH.
• Chelsi Najera, LPC

• Pediatric Dentistry in Watauga, TX
• Providers in Watauga, TX by specialty
• Pediatric Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2022; 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.