Active NPI
Jennifer Suzanne Mantione, D.M.D.
- Dentist
- South Pasadena, FL
National Provider Identifier
1366594996
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DN 15724
- Practice address
- 6967 Sunset Dr S
South Pasadena, FL 33707-2817 - Phone
- (727) 381-6929
- Fax
- (727) 347-4009
- NPI assigned
- Jan 16, 2007
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Dentist | 122300000X | DN 15724 | FL | Primary |
Addresses
Primary practice location
6967 Sunset Dr S
South Pasadena, FL 33707-2817
Mailing address
6967 Sunset Dr S
South Pasadena, FL 33707-2817
Phone (727) 381-6929
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN 15724 | FL | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mantione & Mantione, D.M.D., P.a. | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- General Practice Dentistry
- South Pasadena, FL
- NPI 1144343948
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168905600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1366594996",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6967 SUNSET DR S",
"city": "SOUTH PASADENA",
"state": "FL",
"postal_code": "337072817",
"telephone_number": "727-381-6929",
"fax_number": "727-347-4009"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6967 SUNSET DR S",
"city": "SOUTH PASADENA",
"state": "FL",
"postal_code": "337072817",
"telephone_number": "727-381-6929",
"fax_number": "727-347-4009"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANTIONE",
"first_name": "JENNIFER",
"middle_name": "SUZANNE",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-16",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "FL",
"license": "DN 15724",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in South Pasadena, FL
- Heather M Magee, BC-HIS
- Michael Maiello
- Sara Justine Maison, LMFT
- Todd Maison, LCSW
- Mantione & Mantione, D.M.D., P.a.
- Joseph Charles Mantione, D.M.D.
- Zack Raymond Martin, DMD
- Allison Martyniek
- Linda Mason, ARNP
- Maturity Medical of Pinellas Professional Association (Maturity Medical of Pinellas, P.A.)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.