Active NPI
Mante Pediatrics of Rock Hill Inc.
- Primary Care Clinic/Center
- Rock Hill, SC
National Provider Identifier
1316369556
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- License
- 29696
- Legal business name
- MANTE PEDIATRICS OF ROCK HILL INC.
- Practice address
- 1626 Cranium Dr
Suite 103
Rock Hill, SC 29732-3506 - Phone
- (803) 980-5700
- Fax
- (803) 980-5702
- NPI assigned
- Jan 7, 2014
- Last updated
- Jan 7, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Patience Mante
- Title
- Administrator
- Phone
- (803) 313-3846
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | 29696 | SC | Primary |
Addresses
Primary practice location
1626 Cranium Dr
Suite 103
Rock Hill, SC 29732-3506
Mailing address
1626 Cranium Dr
Suite 103
Rock Hill, SC 29732-3506
Phone (803) 980-5700
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 296968 | Medicaid | SC |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 42D2073985 | Mante Pediatrics of Rock Hill Inc | Certificate of waiver | Feb 26, 2028 |
National Provider Directory
National Provider DirectoryLocations
1626 Cranium Dr
Ste 103
Rock Hill, SC 29732
Phone (803) 980-5700
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.
-
- Nurse Practitioner
- Lancaster, SC
- NPI 1780296632
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1389052800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1389052800000",
"number": "1316369556",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1626 CRANIUM DR",
"address_2": "SUITE 103",
"city": "ROCK HILL",
"state": "SC",
"postal_code": "297323506",
"telephone_number": "803-980-5700",
"fax_number": "803-980-5702"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1626 CRANIUM DR",
"address_2": "SUITE 103",
"city": "ROCK HILL",
"state": "SC",
"postal_code": "297323506",
"telephone_number": "803-980-5700",
"fax_number": "803-980-5702"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MANTE PEDIATRICS OF ROCK HILL INC.",
"organizational_subpart": "NO",
"enumeration_date": "2014-01-07",
"last_updated": "2014-01-07",
"status": "A",
"authorized_official_last_name": "MANTE",
"authorized_official_first_name": "PATIENCE",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "803-313-3846",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": "SC",
"license": "29696",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "296968",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Rock Hill, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.