Jerry a Mantonya

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

451 Issued in OH

Legal business name

JERRY A MANTONYA

Practice address

149 N High St
Hebron, OH 43025-9669

Phone

(740) 928-7686

Fax

(740) 928-5585

NPI assigned

Feb 1, 2007

Organization subpart

No

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

Authorized official

Name

Jerry A Mantonya, D.C.

Title

Clinic Owner

Phone

(740) 928-7686

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Mantonya Chiropractic Center Doing business as

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

{
    "created_epoch": "1170288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366156800000",
    "number": "1164569562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "149 N HIGH ST",
            "city": "HEBRON",
            "state": "OH",
            "postal_code": "430259669",
            "telephone_number": "740-928-7686",
            "fax_number": "740-928-5585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "149 N HIGH ST",
            "city": "HEBRON",
            "state": "OH",
            "postal_code": "430259669",
            "telephone_number": "740-928-7686",
            "fax_number": "740-928-5585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JERRY A MANTONYA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-01",
        "last_updated": "2013-04-17",
        "status": "A",
        "authorized_official_last_name": "MANTONYA",
        "authorized_official_first_name": "JERRY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CLINIC OWNER",
        "authorized_official_telephone_number": "740-928-7686",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "451",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2816813",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BC BS",
            "identifier": "000000160597",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mantonya Chiropractic Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Hebron RX LLC
• Hebron RX LLC
• David Dustin Hess, RPH
• Kenneth Edward Hoecker, DDS
• Joan Kay Holderby
• Richard D Kennedy, MD
• Wade A Kirk, RPH.
• Tiffany Knott
• Michelle Rae Koski, DSP
• Lakewood Local Schools

• Chiropractor in Hebron, OH
• Providers in Hebron, OH by specialty
• Chiropractor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2013; 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.