Organization Active NPI

David W Mansky DPM, PC

  • Foot & Ankle Surgery Podiatrist
  • Hastings, MI
National Provider Identifier
1881879757
Registry record updated Jun 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
5901001735 Issued in MI
Legal business name
DAVID W MANSKY DPM, PC
Practice address
1127 W State St
Suite #B
Hastings, MI 49058-7755
Phone
(269) 945-2222
Fax
(269) 948-2223
NPI assigned
Jan 9, 2008
Last updated
Jun 25, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2014

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

Authorized official

Name
David W Mansky, DPMNPI 1407882384
Title
Owner
Phone
(269) 945-2222

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 5901001735 MI Primary

Addresses

Primary practice location

1127 W State St
Suite #B
Hastings, MI 49058-7755

Mailing address

1127 W State St
Suite #B
Hastings, MI 49058-7755
Phone (269) 945-2222

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20060413000533 MI Part B Supplier - Clinic/Group Practice 2961411228 Receives reassigned benefits from 1 practitioner
1 other NPI on this enrollment
Practice locations: Caledonia, MI; Hastings, MI
O20100930081049 MI DME Supplier - Physician - Podiatry 2961411228 Practice locations: Hastings, MI

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
23D1021409David W Mansky, DPM, PC1127 W State Street, Suite B, Hastings, MI 49058Certificate of waiverJan 21, 2028

National Provider Directory

National Provider Directory

Locations

9385 Cherry Valley Ave SE
Caledonia, MI 49316
Phone (269) 276-4347

1127 W State St
Ste B
Hastings, MI 49058
Phone (269) 945-2222

5770 Highland Rd
Ste 3
Waterford, MI 48327
Phone (248) 674-3124

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EEIFBA

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1199836800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403654400000",
    "number": "1881879757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1127 W STATE ST",
            "address_2": "SUITE #B",
            "city": "HASTINGS",
            "state": "MI",
            "postal_code": "490587755",
            "telephone_number": "269-945-2222",
            "fax_number": "269-948-2223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1127 W STATE ST",
            "address_2": "SUITE #B",
            "city": "HASTINGS",
            "state": "MI",
            "postal_code": "490587755",
            "telephone_number": "269-945-2222",
            "fax_number": "269-948-2223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID W MANSKY DPM, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-09",
        "last_updated": "2014-06-25",
        "status": "A",
        "authorized_official_last_name": "MANSKY",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "269-945-2222",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "MI",
            "license": "5901001735",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hastings, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.