Active NPI
Gregg A. Mantonya, D.C.
- Chiropractor
- Newark, OH
National Provider Identifier
1376516138
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 3023
- Practice address
- 919 N 21St St
Newark, OH 43055-2919 - Phone
- (740) 366-6601
- Fax
- (740) 366-6286
- NPI assigned
- Feb 10, 2006
- 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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 3023 | OH | Primary |
Addresses
Primary practice location
919 N 21St St
Newark, OH 43055-2919
Mailing address
919 N 21St St
Newark, OH 43055-2919
Phone (740) 366-6601
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2190016 | Medicaid | OH | |
| 310811048031 | Other | OH | CARESOURCE |
| 350050808 | Other | OH | PALMETTO GBA RR MEDICARE |
| 000000211465 | Other | OH | ANTHEM BC/BS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
149 N High St
Hebron, OH 43025-9669
Phone (740) 928-7686
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3023 | OH | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mantonya Chiropractic Center LLC | Chiropractor | Current | Accepting new patients |
| Mantonya Chiropractic Center LLC | Chiropractor | Current | Accepting new patients |
Locations
149 N High St
Hebron, OH 43025
Phone (740) 928-7686
919 N 21st St
Newark, OH 43055
Phone (740) 366-3139
905 N 21st St
Ste D
Newark, OH 43055
Phone (740) 255-5189
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Chiropractor
- Newark, OH
- NPI 1174983589
-
- Chiropractor
- Hebron, OH
- NPI 1346600756
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139529600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1190678400000",
"number": "1376516138",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "919 N 21ST ST",
"city": "NEWARK",
"state": "OH",
"postal_code": "430552919",
"telephone_number": "740-366-6601",
"fax_number": "740-366-6286"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "919 N 21ST ST",
"city": "NEWARK",
"state": "OH",
"postal_code": "430552919",
"telephone_number": "740-366-6601",
"fax_number": "740-366-6286"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANTONYA",
"first_name": "GREGG",
"middle_name": "A.",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-10",
"last_updated": "2007-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "OH",
"license": "3023",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2190016",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CARESOURCE",
"identifier": "310811048031",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PALMETTO GBA RR MEDICARE",
"identifier": "350050808",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BC/BS",
"identifier": "000000211465",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Newark, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.