Jason L. Mantey DDS PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

JASON L. MANTEY DDS PLLC

Practice address

10680 E Carter Rd
Traverse City, MI 49684-5437

Phone

(269) 986-3782

NPI assigned

Apr 26, 2019

Last updated

Apr 26, 2019By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Jason Luke Mantey, DDSNPI 1376803981

Title

Owner

Phone

(269) 986-3782

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 2

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.

• Jason Luke Mantey, DDS

  • Dentist
  • Traverse City, MI
  • NPI 1376803981
  Medicare reassignment NPD Authorized official
• Robert Clarke Howard, DDS

  • Dentist
  • Traverse City, MI
  • NPI 1235239831
  NPD (past)

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

{
    "created_epoch": "1556236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1556236800000",
    "number": "1376107193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10680 E CARTER RD",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496845437",
            "telephone_number": "269-986-3782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10680 E CARTER RD",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496845437",
            "telephone_number": "269-986-3782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JASON L. MANTEY DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-26",
        "last_updated": "2019-04-26",
        "status": "A",
        "authorized_official_last_name": "MANTEY",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "LUKE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "269-986-3782",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janus RX LLC
• Daniel P Jarboe, D.C.
• Holli Elizabeth Jarskey, LMSW
• Jamie A Jasman, D.C
• Jason Buttleman DC PLLC
• Jay a Klein DO PLLC
• Jay H Jones MD PC
• Jeffrey K Shaw DC PLLC
• Christopher Carson Jeffries, M.D.
• Peter J Jenema, D.C.

• Dental Clinic/Center in Traverse City, MI
• Providers in Traverse City, MI by specialty
• Dental Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.