Mantality Iowa LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

MANTALITY IOWA LLC

Practice address

595 Ashley CT Ste 5
North Liberty, IA 52317-4758

Phone

(314) 254-2420

NPI assigned

Jan 3, 2018

Last updated

Jan 3, 2018By 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

Kevin J Meuret

Title

Owner

Phone

(314) 254-2420

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1514937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1514937600000",
    "number": "1942717681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "595 ASHLEY CT STE 5",
            "city": "NORTH LIBERTY",
            "state": "IA",
            "postal_code": "523174758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "595 ASHLEY CT STE 5",
            "city": "NORTH LIBERTY",
            "state": "IA",
            "postal_code": "523174758",
            "telephone_number": "314-254-2420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANTALITY IOWA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-03",
        "last_updated": "2018-01-03",
        "status": "A",
        "authorized_official_last_name": "MEURET",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "314-254-2420"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Theresa M Lower, PHARM D
• Benjamin Dennis Maclennan, M.D.
• Abigail Jean Maher, CCC-SLP
• Annette Rena Maier, LMHC
• Mitchell Malven
• Meredith A Marschall, D.M.D.
• Darby Marsh
• Shannon Elizabeth Hitchcock Matasovsky, DPT
• Peter B Maurus, M.D.
• MC Therapy LLC

• Internal Medicine Physician in North Liberty, IA
• Providers in North Liberty, IA by specialty
• Internal Medicine Physician in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2018; 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.