DR. THEODORE MANTZIKOS (NPI# 1598271355) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598271355 |
| Entity Type | Individual |
| Full Name | DR. THEODORE MANTZIKOS |
| Credential | DMD |
| Practice Address |
220 Westchester Avenue White Plains NY 10604 |
| Practice Telephone | 9149465860 |
| Practice Fax Number | 9149460537 |
| Mailing Telephone | 9149465860 |
| Mailing Fax Number | 9149460537 |
| Enumeration Date | 2017-12-15 |
| Last Update Date | 2017-12-15 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
043104-1 | NY | Dental Providers |
| Street Address |
220 WESTCHESTER AVENUE |
| City | WHITE PLAINS |
| State | NY |
| Zip Code | 10604 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184667461 | Grigory Isacc Kizelshteyn | Anesthesiology | 220 Westchester Avenue, White Plains, NY 10604 | 2006-06-14 |
| 1053422865 | Michael Richard Rosen | Orthopaedic Surgery | 220 Westchester Avenue, White Plains, NY 10604 | 2006-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477074185 | Safe Ride Dispatch LLC | Taxi | 1 New King St Suite 102, Harrison, NY 10604 | 2017-07-03 |
| 1871968131 | Karen Faeth | Registered Nurse | 1606 Old Orchard Road, White Plains, NY 10604 | 2015-12-11 |
| 1477929941 | Nancy West | Specialist | 1133 Westchester Ave Suite N-230, White Plains, NY 10604 | 2015-08-19 |
| 1003212408 | Stella Flemister | Physical Therapist | 244 Westchester Ave. #312, White Plains, NY 10604 | 2014-11-12 |
| 1851796957 | Cassandra Augustine | Registered Nurse | 777 Westchester Avenue, Suite 110, White Plains, NY 10604 | 2014-10-31 |
| 1700280153 | Belinda Nicole Johnson | Licensed Practical Nurse | 777 Westchester Ave., Maxim Healthcare, White Plains, NY 10604 | 2014-10-14 |
| 1508276858 | Greenburgh-north Castle Ufsd/reach Academy | Local Education Agency (LEA) | 45 East Gainsborg Ave, West Harrison, NY 10604 | 2014-05-07 |
| 1528314457 | Xiomara J Jimenez | Specialist | 333 Weschester Ave, White Plains, NY 10604 | 2012-07-30 |
| 1871854984 | Kathryn Alexandra Marciano | Specialist | 1133 Westchester Avenue Suite N-230, White Plains, NY 10604 | 2012-06-05 |
| 1902116221 | Maria Noelia Aguero | Speech-Language Pathologist | 333 Westchester Avenue, West Suit 202, White Plains, NY 10604 | 2010-10-20 |
| Find all providers in zip 10604 | ||||
| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891259347 | Smile More Orthodontics | Dentist | 7-11 S Broadway Ste 104, White Plains, NY 10601-3520 | 2019-01-29 |
| 1366847675 | Michael Sheinis | Dentist | 95 Church St Ste 400, White Plains, NY 10601-1520 | 2014-10-29 |
| 1669775219 | Simply Orthodontics, P.C. | Dentist | 90 Bryant Ave Unit Tc, Embassy Building, White Plains, NY 10605-1952 | 2010-12-20 |
| 1669680096 | Ellen Honig | Dentist | 10 Nosband Avenue, Suite 1m, White Plains, NY 10605 | 2007-05-18 |
| 1578570206 | Elliot R Storm | Dentist | 765 North St, White Plains, NY 10605-4401 | 2006-08-02 |
| 1831631381 | W Orthodontics | Dentist | 95 Church Street, Suite 400, White Plains, NY 10601 | 2016-11-15 |
| 1518333129 | Hyeyoon Choi | Dentist | 95 Church St, Ste.400, White Plains, NY 10601-1515 | 2015-08-18 |
| 1861896938 | Ilan Shamus | Dentist | 220 Westchester Ave, White Plains, NY 10604-2913 | 2014-10-17 |
| 1316251713 | White Plains Orthodontics PC | Dentist | 90 Bryant Ave, 1ce, White Plains, NY 10605-1952 | 2010-07-28 |
| 1972754117 | Arthur Kaplan Dds PC | Dentist | 95 Church St, Suite 400, White Plains, NY 10601-1515 | 2008-10-07 |
| Find all providers in WHITE PLAINS | ||||
| City | WHITE PLAINS |
| Zip Code | 10604 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.