Dyer Mantonya Chiropractic, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1745 Issued in OH

Legal business name

DYER MANTONYA CHIROPRACTIC, LLC

Practice address

693 Hopewell Dr
Heath, OH 43056-1579

Phone

(740) 522-5500

Fax

(740) 522-5444

NPI assigned

Apr 11, 2007

Organization subpart

No

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

Authorized official

Name

Kelly L. Mantonya, D.C.

Title

Co-Owner

Phone

(740) 522-5500

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Craig Dyer, D.C.

  • Chiropractor
  • Heath, OH
  • NPI 1427033117
  Medicare reassignment Care Compare group NPD
• Derek D Myers, D.C.

  • Chiropractor
  • Franklin, TN
  • NPI 1811947633

  OH

  Medicare reassignment Care Compare group NPD
• Ghoncheh Dyer, D.C.

  • Chiropractor
  • Heath, OH
  • NPI 1346225026
  Medicare reassignment NPD
• Cody Daniel McClintock, DC

  • Chiropractor
  • Newark, OH
  • NPI 1578969028
  Medicare reassignment NPD

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

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1392163200000",
    "number": "1598988164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "693 HOPEWELL DR",
            "city": "HEATH",
            "state": "OH",
            "postal_code": "430561579",
            "telephone_number": "740-522-5500",
            "fax_number": "740-522-5444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "693 HOPEWELL DR",
            "city": "HEATH",
            "state": "OH",
            "postal_code": "430561579",
            "telephone_number": "740-522-5500",
            "fax_number": "740-522-5444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DYER MANTONYA CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-11",
        "last_updated": "2014-02-12",
        "status": "A",
        "authorized_official_last_name": "MANTONYA",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "740-522-5500",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "1745",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2190089",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0112327",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2193906",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2609252",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Roberta Lori Davis, PHARMD
• Tashia Melanie Davis
• Gary Allen Debevoise, D.D.S.
• Jo Ann Dowell, PHD, CRNP,PNP,FNP-BC
• Carol Sue Dudgeon, LPN
• Craig Dyer, D.C.
• Ghoncheh Dyer, D.C.
• Kyle Dygert
• Dynamic Wellness Studio
• Emily Efaw, PT, DPT

• Chiropractor in Heath, OH
• Providers in Heath, OH by specialty
• Chiropractor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.