Active NPI
Charles Joseph Mantey, M.D.
- Family Medicine Physician
- Hamilton, MT
National Provider Identifier
1295919272
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MED-PHYS-LIC-77535
- Practice address
- 1331 North 1St Street
Hamilton, MT 59840-3104 - Phone
- (406) 363-3352
- NPI assigned
- Dec 26, 2007
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MED-PHYS-LIC-77535 | MT | Primary |
Addresses
Primary practice location
1331 North 1St Street
Hamilton, MT 59840-3104
Mailing address
PO Box 1500
Fort Harrison, MT 59636-1500
Phone (406) 442-6410
Other practice location 1
3687 Veterans Dr
Fort Harrison, MT 59636-9700
Phone (406) 363-3352
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140428001954 | OR | Order and Referring Only - Family Practice | 4688734130 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MED-PHYS-LIC-77535 | MT | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1198627200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1742428800000",
"number": "1295919272",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1500",
"city": "FORT HARRISON",
"state": "MT",
"postal_code": "596361500",
"telephone_number": "406-442-6410"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1331 NORTH 1ST STREET",
"city": "HAMILTON",
"state": "MT",
"postal_code": "598403104",
"telephone_number": "406-363-3352"
}
],
"practiceLocations": [
{
"address_1": "3687 Veterans Dr",
"address_purpose": "LOCATION",
"city": "Fort Harrison",
"state": "MT",
"postal_code": "596369700",
"country_code": "US",
"telephone_number": "406-363-3352",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MANTEY",
"first_name": "CHARLES",
"middle_name": "JOSEPH",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-12-26",
"last_updated": "2025-03-20",
"certification_date": "2025-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MT",
"license": "MED-PHYS-LIC-77535",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hamilton, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2025; 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.