Active NPI
Kelly L. Mantonya, D.C.
- Chiropractor
- Heath, OH
National Provider Identifier
1184609869
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 1745
- Practice address
- 693 Hopewell Dr
Heath, OH 43056-1579 - Phone
- (740) 522-5500
- Fax
- (740) 522-5444
- NPI assigned
- Dec 14, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 1745 | OH | Primary |
Addresses
Primary practice location
693 Hopewell Dr
Heath, OH 43056-1579
Mailing address
693 Hopewell Dr
Heath, OH 43056-1579
Phone (740) 522-5500
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0112327 | Medicaid | OH |
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134518400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1392163200000",
"number": "1184609869",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "693 HOPEWELL DR",
"city": "HEATH",
"state": "OH",
"postal_code": "430561579",
"telephone_number": "740-522-5500",
"fax_number": "740-522-5444"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "693 HOPEWELL DR",
"city": "HEATH",
"state": "OH",
"postal_code": "430561579",
"telephone_number": "740-522-5500",
"fax_number": "740-522-5444"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANTONYA",
"first_name": "KELLY",
"middle_name": "L.",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-12-14",
"last_updated": "2014-02-12",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "OH",
"license": "1745",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0112327",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Heath, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 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.