Dulemba and Mantri MD PA

Primary specialty

Gynecology PhysicianTaxonomy code 207VG0400X

Legal business name

DULEMBA AND MANTRI MD PA

Practice address

3321 Unicorn Lake Blvd
Suite 121
Denton, TX 76210-0106

Phone

(940) 387-6248

Fax

(940) 381-1881

NPI assigned

Sep 8, 2005

Organization subpart

No

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

Authorized official

Name

Suhas Mantri, MDNPI 1659452985

Title

Owner

Phone

(940) 387-6248

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• The Womens Centre Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 3

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

• Suhas D Mantri, MD

  • Gynecology Physician
  • Denton, TX
  • NPI 1659452985
  Medicare reassignment NPD Authorized official
• Kateryna Iskiv, N.P.

  • Family Medicine Physician
  • Denton, TX
  • NPI 1679182661
  Medicare reassignment NPD
• Misty Rogers, N.P.

  • Women's Health Nurse Practitioner
  • Denton, TX
  • NPI 1568543817
  Medicare reassignment NPD

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

{
    "created_epoch": "1126137600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346976000000",
    "number": "1679567317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3321 UNICORN LAKE BLVD",
            "address_2": "SUITE 121",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762100106",
            "telephone_number": "940-387-6248",
            "fax_number": "940-381-1881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3321 UNICORN LAKE BLVD",
            "address_2": "SUITE 121",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762100106",
            "telephone_number": "940-387-6248",
            "fax_number": "940-381-1881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DULEMBA AND MANTRI MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-08",
        "last_updated": "2012-09-07",
        "status": "A",
        "authorized_official_last_name": "MANTRI",
        "authorized_official_first_name": "SUHAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "940-387-6248",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "085636101",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Womens Centre",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Edwin A Dudoussat IV
• Kara Dudowicz, D.C.
• Chase Michael Duell, DPT
• Reina E. Duerinckx, WHCNP
• Sean Perkins Duesing, MS PT
• John F Dulemba, MD
• Claire Aragon Dunnuck, BCBA
• Tyrone Dunson II, D.D.S.
• Tuquynh Nguyen Duong, OD
• Haley Nicole Dupont

• Gynecology Physician in Denton, TX
• Providers in Denton, TX by specialty
• Gynecology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2012; 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.