Manhattan Family Dentistry and Orthodontics

Primary specialty

DentistTaxonomy code 122300000X

License

019021119 Issued in IL

Legal business name

MANHATTAN FAMILY DENTISTRY AND ORTHODONTICS

Practice address

24600 S US Highway 52
2D
Manhattan, IL 60442-9007

Phone

(815) 478-9891

NPI assigned

Mar 1, 2017

Last updated

Mar 2, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Christian Foltys, D.D.S.

Title

Dentist

Phone

(815) 478-9891

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1488326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488412800000",
    "number": "1639619323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24600 S ROUTE 52",
            "address_2": "2D",
            "city": "MANHATTAN",
            "state": "IL",
            "postal_code": "60442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24600 S US HIGHWAY 52",
            "address_2": "2D",
            "city": "MANHATTAN",
            "state": "IL",
            "postal_code": "604429007",
            "telephone_number": "815-478-9891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANHATTAN FAMILY DENTISTRY AND ORTHODONTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-01",
        "last_updated": "2017-03-02",
        "status": "A",
        "authorized_official_last_name": "FOLTYS",
        "authorized_official_first_name": "CHRISTIAN",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "815-478-9891",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "IL",
            "license": "019021119",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dentist in Manhattan, IL
• Providers in Manhattan, IL by specialty
• Dentist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2017; 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.