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SELISSA MANTAS DMD
NPI 1114309085
Dentist - General Practice in Loveland, CO

Active since June 26, 2015PECOS Enrolled
302 3RD ST SE STE 150, LOVELAND, CO 80537(970) 461-8942(970) 292-1538 Get Directions Write a Review

NPPES record last updated: August 22, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Selissa Mantas Dmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SELISSA MANTAS DMD (NPI 1114309085) is an individual general practice provider in Loveland, Colorado, licensed in Colorado (203602) and active in the NPI registry since June 2015. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1114309085
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameSELISSA MANTASCredential: DMD
Location Address302 3RD ST SE STE 150Loveland, CO 80537
Mailing Address2930 11th AveEvans, CO 80620-1011 · (970) 350-4606 · Fax (970) 350-4645
Phone(970) 461-8942
Fax(970) 292-1538
Sole ProprietorNo
Enumeration DateJune 26, 2015
Last NPPES UpdateAugust 22, 2018
✔ NPI 1114309085 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Licenses✔ Licensed in CO · 203602✔ Licensed in WI · 1001107-15
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
302 3RD ST SE STE 150, Loveland, CO 80537
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Selissa Mantas Dmd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 80537 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$89.43 typical visit price
range $58.06 – $174.82
Typical copayment $22.35 (range $14.51 – $43.70)
Most-billed visit code 99203
Established Patient
$72.20 typical visit price
range $18.88 – $142.79
Typical copayment $18.05 (range $4.72 – $35.69)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AMELIA KRAFT DDS
Dentist (General Practice)
302 3RD ST SE STE 150
LOVELAND, CO 80537
Larimer County (970) 669-4855
RICHARD TUCKER POST MSN, APN, AGNP-C
Nurse Practitioner (Primary Care)
302 3RD ST SE STE 150
LOVELAND, CO 80537
Larimer County (970) 669-4855
SUNRISE COMMUNITY HEALTH
Clinic/Center (Federally Qualified Health Center (FQHC))
302 3RD ST SE STE 150
LOVELAND, CO 80537
Larimer County (970) 461-8942
JESSICA LYNN JAMES FNP-BC
Nurse Practitioner (Family)
302 3RD ST SE STE 150
LOVELAND, CO 80537
Larimer County (970) 669-4855
SUNRISE COMMUNITY HEALTH
Pharmacy (Clinic Pharmacy)
302 3RD ST SE STE 150
LOVELAND, CO 80537
Larimer County (970) 461-3843
ALEXANDER BRODEUR DMD
Dentist (General Practice)
302 3RD ST SE STE 150
LOVELAND, CO 80537
Larimer County (970) 461-8942
MARY LOUISE BEDOSKY PA-C
Physician Assistant
302 3RD ST SE STE 150
LOVELAND, CO 80537
Larimer County (970) 669-4855
ALLISON JANE POST MD
Family Medicine
302 3RD ST SE STE 150
LOVELAND, CO 80537
Larimer County (970) 669-4855

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Selissa Mantas's NPI number?

The NPI number for Selissa Mantas is 1114309085. It was assigned to this individual provider in the NPPES registry on June 26, 2015.

Where is Selissa Mantas located?

Selissa Mantas practices at 302 3rd St SE Ste 150, Loveland, CO 80537. The listed phone number is (970) 461-8942.

What is Selissa Mantas's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Selissa Mantas enrolled in Medicare?

Yes. Selissa Mantas is registered in the Medicare PECOS enrollment system.

What insurance does Selissa Mantas accept?

Health plans from BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and HRI Dental & Vision and 3 other insurers list Selissa Mantas as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Selissa Mantas was last updated on August 22, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.