Bernard Michael Manthei, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

7439 Issued in MN

Practice address

1814 No St Paul Road
Maplewood Medical and Professional BLDG
Maplewood, MN 55109-4796

Phone

(651) 770-2381

Fax

(651) 770-2397

NPI assigned

Nov 29, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• B Michael Manthei Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1508933813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1814 NO ST PAUL ROAD",
            "address_2": "MAPLEWOOD MEDICAL AND PROFESSIONAL BLDG",
            "city": "MAPLEWOOD",
            "state": "MN",
            "postal_code": "551094796",
            "telephone_number": "651-770-2381",
            "fax_number": "651-770-2397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1814 NO ST PAUL ROAD",
            "address_2": "MAPLEWOOD MEDICAL AND PROFESSIONAL BLDG",
            "city": "MAPLEWOOD",
            "state": "MN",
            "postal_code": "551094796",
            "telephone_number": "651-770-2381",
            "fax_number": "651-770-2397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANTHEI",
        "first_name": "BERNARD",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MN",
            "license": "7439",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "21164",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "B MICHAEL",
            "last_name": "MANTHEI",
            "credential": "DDS",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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• Dentist in Maplewood, MN
• Providers in Maplewood, MN by specialty
• Dentist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.