Jason Luke Mantey, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

2901020637 Issued in MI

Practice address

10680 E. Carter Rd.
Traverse City, MI 49684

Phone

(231) 941-4106

Fax

(231) 941-4208

NPI assigned

May 17, 2012

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Jason L. Mantey DDS PLLC

  • Dental Clinic/Center
  • Traverse City, MI
  • NPI 1376107193
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1337212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468195200000",
    "number": "1376803981",
    "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": "49684",
            "telephone_number": "231-941-4106",
            "fax_number": "231-941-4208"
        },
        {
            "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": "49684",
            "telephone_number": "231-941-4106",
            "fax_number": "231-941-4208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANTEY",
        "first_name": "JASON",
        "middle_name": "LUKE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-05-17",
        "last_updated": "2016-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901020637",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charity Manke, MA, LLP
• Michelle Manley, DO
• Jan Alexandria Manning, DDS
• Lovell Tracy Manning
• Kimberly Manrique, M.S, L.P.C., A.T.R
• Manton Health Center PLLC
• Maple Clinic, Inc.
• Marc L Austhof OD Eye Care Services PLLC
• Nathan E March, D.O.
• Leah Marcotte

• Dentist in Traverse City, MI
• Providers in Traverse City, MI by specialty
• Dentist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2016; 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.

Verify at the official NPI Registry.