Betty Jean Manaster, M.D.

Primary specialty

Sports Medicine (Neuromusculoskeletal Medicine) PhysicianTaxonomy code 204C00000X

License

DR000000038105 Issued in CO

Practice address

4200 E Ninth Ave
Box A030
Denver, CO 80262-0001

Phone

(303) 372-6136

NPI assigned

Oct 18, 2006

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1578644282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 OVERLOOK DR",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803055258",
            "telephone_number": "303-494-9911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4200 E NINTH AVE",
            "address_2": "BOX A030",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802620001",
            "telephone_number": "303-372-6136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANASTER",
        "first_name": "BETTY",
        "middle_name": "JEAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204C00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine, Sports Medicine",
            "state": "CO",
            "license": "DR000000038105",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pooja Subhashchandra Mamadapalli
• Surafel Mamo
• Yared Melaku Mamo
• Chloe Mamola
• Michelle Mamrot, RN
• Ashley Rae Mancha
• Brianda Mancha
• Adam D Manchon, MD
• Mary Margaret Mancinelli, MA, LPC
• Victoria Mancinelli, SWC

• Sports Medicine (Neuromusculoskeletal Medicine) Physician in Denver, CO
• Providers in Denver, CO by specialty
• Sports Medicine (Neuromusculoskeletal Medicine) Physician in Colorado

• 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.