Nicholas P Manteris, DC
Chiropractor in Broomfield, CO. Individual provider (NPI-1).
NPI number1457733362
StatusActive
Last updated in NPPESSep 28, 2020
Details
- NPI
- 1457733362
- Entity type
- Individual (NPI-1)
- Name
- Nicholas P Manteris
- Credential
- DC
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jun 27, 2015
- Certification date
- Aug 11, 2020
- Last updated
- Sep 28, 2020
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 111N00000X | Chiropractor | 12783 | TX | Yes |
Practice location
2095 W 6th Ave Ste 105Broomfield, CO 80020-1870
Phone 720-508-3982 · Fax 720-287-1452
Mailing address
2095 W 6th Ave Ste 105Broomfield, CO 80020-1870
Phone 720-508-3982 · Fax 720-287-1452
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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