Mante Pediatrics LLC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

MANTE PEDIATRICS LLC

Practice address

834 W Meeting St
Suite C
Lancaster, SC 29720-6220

Phone

(803) 313-3846

Fax

(803) 313-3847

NPI assigned

Jun 27, 2007

Organization subpart

No

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

Authorized official

Name

Ebenezer Mante, M.D.

Title

Owner

Phone

(803) 313-3846

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1182902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202256000000",
    "number": "1508063371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "834 W MEETING ST",
            "address_2": "SUITE C",
            "city": "LANCASTER",
            "state": "SC",
            "postal_code": "297206220",
            "telephone_number": "803-313-3846",
            "fax_number": "803-313-3847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "834 W MEETING ST",
            "address_2": "SUITE C",
            "city": "LANCASTER",
            "state": "SC",
            "postal_code": "297206220",
            "telephone_number": "803-313-3846",
            "fax_number": "803-313-3847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANTE PEDIATRICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-27",
        "last_updated": "2008-02-06",
        "status": "A",
        "authorized_official_last_name": "MANTE",
        "authorized_official_first_name": "EBENEZER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "803-313-3846",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP4702",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jasmine Luster, LPC
• Lyfe Integrated Care
• Mackey Family Practice, PA
• Mackey Family Practice, PA
• Claudia Jeannette Maddox, CNNP
• Ebenezer Yaw-Obeng Mante, MD
• Michael James Manwarren II
• Constance Marin
• James Daniel Marino, DO
• Courtney Cauthen Marshall, DPT

• Pediatrics Physician in Lancaster, SC
• Providers in Lancaster, SC by specialty
• Pediatrics Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.