# JERRY A MANTONYA

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Mantonya Chiropractic Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1497809495
- **Authorized official:** JERRY A MANTONYA D.C. (CLINIC OWNER-DIRECTOR)
- **Authorized official phone:** (740) 366-6601

## Contact information

- **Practice address:** 919 N 21ST ST, NEWARK, OH 43055-2919
- **Practice address phone:** (740) 366-6601
- **Practice address fax:** (740) 366-6286
- **Mailing address:** 919 N 21ST ST, NEWARK, OH 43055-2919
- **Mailing address phone:** (740) 366-6601
- **Mailing address fax:** (740) 366-6286

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | 3023 | OH | — |
| 111N00000X | Chiropractor | 3530 | OH | — |
| 111N00000X | Chiropractor | 3567 | OH | — |
| 111N00000X | Chiropractor | 451 | OH | Yes |
| 111N00000X | Chiropractor | 870 | OH | — |

## Other

- **Enumeration date:** 01/23/2007
- **Last updated:** 12/02/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 000000160597 | ANTHEM BC BS | OH |
| 05 | — | 0112381 | — | OH |