NPIMap

Organization Active NPI

Barbara J Mantha

  • Durable Medical Equipment & Medical Supplies
  • Newport, OR
National Provider Identifier
1013278399
Registry record updated Feb 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
NPC-0001856 Issued in OR
Legal business name
BARBARA J MANTHA
Practice address
644 SW Coast Hwy Ste B
Newport, OR 97365-5051
Phone
(541) 265-5581
Fax
(541) 265-5264
NPI assigned
Jun 4, 2012
Last updated
Feb 13, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2014

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

Authorized official

Name
Barbara June ManthaNPI 1184990640
Title
Owner
Phone
(541) 265-5581

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NPC-0001856 OR Primary

Addresses

Primary practice location

644 SW Coast Hwy Ste B
Newport, OR 97365-5051

Mailing address

PO Box 1173
Newport, OR 97365
Phone (541) 265-5581

Other names 1

  • Home Medical Equipment and Supplies Other name

National Provider Directory

National Provider Directory

Locations

644 SW Coast Hwy
Ste B
Newport, OR 97365
Phone (541) 265-5581

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1338768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1392249600000",
    "number": "1013278399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1173",
            "city": "NEWPORT",
            "state": "OR",
            "postal_code": "97365",
            "telephone_number": "541-265-5581",
            "fax_number": "541-265-5264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "644 SW COAST HWY STE B",
            "city": "NEWPORT",
            "state": "OR",
            "postal_code": "973655051",
            "telephone_number": "541-265-5581",
            "fax_number": "541-265-5264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BARBARA J MANTHA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-04",
        "last_updated": "2014-02-13",
        "status": "A",
        "authorized_official_last_name": "MANTHA",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_middle_name": "JUNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "541-265-5581"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "OR",
            "license": "NPC-0001856",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Home Medical Equipment and Supplies",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Newport, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2014; 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.