Individual provider Active NPI

Brandon Michael John Montoya

  • Hearing Instrument Specialist
  • Taos, NM
National Provider Identifier
1952182958
Registry record updated Oct 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
License
SAH-2023-0092 Issued in NM
Practice address
1350 Paseo del Pueblo Sur Ste 3
Taos, NM 87571-5978
Phone
(575) 751-9327
NPI assigned
Oct 6, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing Instrument Specialist 237700000X SAH-2023-0092 NM Primary

Addresses

Primary practice location

1350 Paseo del Pueblo Sur Ste 3
Taos, NM 87571-5978

Mailing address

1350 Paseo del Pueblo Sur Ste 3
Taos, NM 87571-5978
Phone (575) 751-9327

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
SAH-2023-0092NMMDHearing Instrument Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Lifestyle Hearing Corporation USA Inc Hearing Instrument Specialist Past Accepting new patients
Audiology Distribution, LLC Past Accepting new patients

Organizations & group practices 2

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": "1696550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696550400000",
    "number": "1952182958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1350 PASEO DEL PUEBLO SUR STE 3",
            "city": "TAOS",
            "state": "NM",
            "postal_code": "875715978",
            "telephone_number": "575-751-9327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1350 PASEO DEL PUEBLO SUR STE 3",
            "city": "TAOS",
            "state": "NM",
            "postal_code": "875715978",
            "telephone_number": "575-751-9327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTOYA",
        "first_name": "BRANDON",
        "middle_name": "MICHAEL JOHN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-10-06",
        "last_updated": "2023-10-06",
        "certification_date": "2023-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "NM",
            "license": "SAH-2023-0092",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Taos, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 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.