Rocco Michael Mantini, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS-024147-L Issued in PA

Practice address

316 N Main St
Davidsville, PA 15928-9500

Phone

(814) 479-4525

Fax

(814) 479-2615

NPI assigned

May 14, 2007

Last updated

Jul 9, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Windber Hospital, Inc.

  dba Windber Medical Center

  • General Acute Care Hospital
  • Windber, PA
  • NPI 1275620536
  NPD (past)

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

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1619183191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "134 BEULAH LANE",
            "city": "HOLLSOPPLE",
            "state": "PA",
            "postal_code": "15935",
            "telephone_number": "814-479-2105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "316 N MAIN ST",
            "city": "DAVIDSVILLE",
            "state": "PA",
            "postal_code": "159289500",
            "telephone_number": "814-479-4525",
            "fax_number": "814-479-2615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANTINI",
        "first_name": "ROCCO",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-14",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS-024147-L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0009781650004",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lauren Franklin, RN
• Healing Hands Family Care
• Jenna Kroner, PHARMD.
• Rena M. Kuzneski, O.T.
• Ernest James Mantini, D.M.D.
• Michael Montag, D.P.T.
• Kimiko Moore
• Mountain Ridge Complete Care
• Northstar Mental Health
• Painted Desert Psychiatry

• General Practice Dentistry in Davidsville, PA
• Providers in Davidsville, PA by specialty
• General Practice Dentistry in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.