Necito L Montaniel, MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

4053 Issued in ND

Practice address

3883 74TH Avenue NE
Fort Totten, ND 58335

Phone

(701) 766-1600

Fax

(701) 766-1645

NPI assigned

Nov 23, 2016

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)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1479859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479859200000",
    "number": "1992248967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 309",
            "city": "FORT TOTTEN",
            "state": "ND",
            "postal_code": "583350309",
            "telephone_number": "701-766-1600",
            "fax_number": "701-766-1645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3883 74TH AVENUE NE",
            "city": "FORT TOTTEN",
            "state": "ND",
            "postal_code": "58335",
            "telephone_number": "701-766-1600",
            "fax_number": "701-766-1645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTANIEL",
        "first_name": "NECITO",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-11-23",
        "last_updated": "2016-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "ND",
            "license": "4053",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shelby Marie Lovcik, PHARMD
• Richard Gary Mason, DPM
• Worku Metaferia, FNP-BC
• Macie Mikkelsen, FNP-C
• Lynde J Monson, PHARMD
• Bertha Gail Olafson
• Dorothea June Olson, REGISTERED NURSE
• Trisha Olson
• Ronnesha Owusu-Kyei, DHS
• Donna Rance, RPH PHARM.D

• General Practice Physician in Fort Totten, ND
• Providers in Fort Totten, ND by specialty
• General Practice Physician in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2016; 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.