Healthcare Provider Details

I. General information

NPI: 1932884079
Provider Name (Legal Business Name): DIEGO MONTES D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/16/2023
Last Update Date: 10/29/2025
Certification Date: 10/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 TECHNOLOGY LN
EXPORT PA
15632-8994
US

IV. Provider business mailing address

1 TECHNOLOGY LN
EXPORT PA
15632-8994
US

V. Phone/Fax

Practice location:
  • Phone: 724-327-5665
  • Fax:
Mailing address:
  • Phone: 724-327-5665
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number36683
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberDC011907
License Number StatePA

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: