Lucas Enrique Mantilla, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS038216 Issued in PA

Practice address

2710 William Penn Hwy
Easton, PA 18045-5268

Phone

(610) 253-4343

NPI assigned

Jun 16, 2010

Last updated

Jan 17, 2011By the provider in NPPES

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

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Richard R. Rauktis

  • Dentist
  • Easton, PA
  • NPI 1316193451
  NPD (past)

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

{
    "created_epoch": "1276646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1295222400000",
    "number": "1205157922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2710 WILLIAM PENN HWY",
            "city": "EASTON",
            "state": "PA",
            "postal_code": "180455268",
            "telephone_number": "610-253-4343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2710 WILLIAM PENN HWY",
            "city": "EASTON",
            "state": "PA",
            "postal_code": "180455268",
            "telephone_number": "610-253-4343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANTILLA",
        "first_name": "LUCAS",
        "middle_name": "ENRIQUE",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-16",
        "last_updated": "2011-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS038216",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher R Mann, MD
• Sarah Mann, RD, CSG, LDN
• Briana Mannino
• Manoj K. Mittal,MD,PC.
• Manor Care of Easton PA, LLC (ProMedica Skilled Nursing and Rehabilitation (Easton))
• Manu Vachhani MD
• Jonathan Manuel, P.T.
• Sebastian Louis Manuel, MD, MBA
• Valentina Marchese, MD
• Christine Marchionni, M.D.

• General Practice Dentistry in Easton, PA
• Providers in Easton, PA by specialty
• General Practice Dentistry in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.