Arie Mantin, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

2000-00535 Issued in NC

Practice address

2245 Lewisville Clemmons Rd
Clemmons, NC 27012-7461

Phone

(336) 712-8225

Fax

(336) 712-8227

NPI assigned

Sep 21, 2005

Sex

Male

Sole proprietor

Yes

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 NC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

Other, 1980

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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

• Clemmons Urgent and Primary Care, PA

  • Family Medicine Physician
  • Clemmons, NC
  • NPI 1518141407
  Medicare reassignment NPD Authorized official
• Bowen Primary & Urgent Care PA

  • Internal Medicine Physician
  • Hickory, NC
  • NPI 1003956079
  NPD (past)
• Springs Road Consulting LLC

  • Internal Medicine Physician
  • Hickory, NC
  • NPI 1649623703
  NPD (past)

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

{
    "created_epoch": "1127260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1373500800000",
    "number": "1629064191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2245 LEWISVILLE CLEMMONS RD",
            "city": "CLEMMONS",
            "state": "NC",
            "postal_code": "270127461",
            "telephone_number": "336-712-8225",
            "fax_number": "336-712-8227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2245 LEWISVILLE CLEMMONS RD",
            "city": "CLEMMONS",
            "state": "NC",
            "postal_code": "270127461",
            "telephone_number": "336-712-8225",
            "fax_number": "336-712-8227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANTIN",
        "first_name": "ARIE",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-21",
        "last_updated": "2013-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "2000-00535",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89136M4",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amber Elaine Lytton
• Christopher Andrew Madden, M.D.
• Amanda Maki
• Alan Malchuk, MSW, LCSW
• Paul A Mansfield, C.O.,C.PED.
• Suzanne Borofsky Marin, LCSW
• Marlette Family Practice, PA
• Sarah Marshall, LCSW, LCAS
• William Jeffery Marshall, M.D.
• Axel Martell, RPH

• Family Medicine Physician in Clemmons, NC
• Providers in Clemmons, NC by specialty
• Family Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2013; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.