Individual provider Active NPI

Talon Maningas, D.O.

  • Otolaryngology Physician
  • Joplin, MO
National Provider Identifier
1487971008
Registry record updated Jul 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
2012005133 Issued in MO
Practice address
620 W 32ND St
Joplin, MO 64804-2549
Phone
(417) 540-7880
NPI assigned
Apr 21, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 19, 2016

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 2858 TN
Otolaryngology Physician 207Y00000X 1406 NE
Otolaryngology Physician 207Y00000X 73609 GA
Otolaryngology Physician 207Y00000X 2012005133 MO Primary

Addresses

Primary practice location

620 W 32ND St
Joplin, MO 64804-2549

Mailing address

620 W 32ND St
Joplin, MO 64804-2549

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, TN, NE3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20120802000289 MO Practitioner - Plastic and Reconstructive SurgeryPractitioner - OtolaryngologyPractitioner - Emergency Medicine 7113173477 Reassigns benefits to 1 organization
I20150811004458 TN Practitioner - General Practice 7113173477 Reassigns benefits to 1 organization
I20160201002194 NE Practitioner - Otolaryngology 7113173477 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
73609GAMDOtolaryngology Physician
2012005133MOMDOtolaryngology Physician
2858TNMDOtolaryngology Physician
1406NEMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Clinic Joplin LLC CurrentSince Feb 26, 2016 Accepting new patients
Regional West Physicians Clinic CurrentSince Jan 15, 2016 Accepting new patients
DX Mso, PLLC CurrentSince Jun 20, 2015 Accepting new patients
Regional West Physicians Clinic Past Accepting new patients

Locations

1102 W 32nd St
Joplin, MO 64804
Phone (417) 347-1078

100 Mercy Way
Joplin, MO 64804
Phone (417) 556-2300

2 W 42nd St
Ste 1100
Scottsbluff, NE 69361
Phone (308) 635-0600

3911 Avenue B
Ste G200
Scottsbluff, NE 69361
Phone (308) 630-1355

700 E 54th St N
Sioux Falls, SD 57104
Phone (423) 458-1426

170 Mouse Creek Rd NW
Cleveland, TN 37312
Phone (423) 458-1426

1025 Peerless Xing NW
Cleveland, TN 37312
Phone (423) 476-5990

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1271808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468886400000",
    "number": "1487971008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 W 32ND ST",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648042549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 W 32ND ST",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648042549",
            "telephone_number": "417-540-7880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANINGAS",
        "first_name": "TALON",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-04-21",
        "last_updated": "2016-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "TN",
            "license": "2858",
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "NE",
            "license": "1406",
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "GA",
            "license": "73609",
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "MO",
            "license": "2012005133",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Joplin, MO

Sources for this page

Verify at the official NPI Registry.