DR. CLARISA KIM MANTANONA D.D.S.
NPI 1255422853
Dentist - General Practice in Colorado Springs, CO

Q: What is Clarisa Mantanona's NPI number?

The NPI number for Clarisa Mantanona is 1255422853. It was assigned to this individual provider in the NPPES registry on September 27, 2006.

Q: What is Clarisa Mantanona's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Clarisa Mantanona was last updated on April 9, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.

Active since September 27, 2006PECOS Enrolled

1920 VINDICATOR DR, SUITE 211, COLORADO SPRINGS, CO 80919(719) 314-2088(719) 314-2089 Get Directions Write a Review

NPPES record last updated: April 9, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Dr. Clarisa Kim Mantanona D.d.s. NPPES

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

DR. CLARISA KIM MANTANONA D.D.S. (NPI 1255422853) is an individual general practice provider in Colorado Springs, Colorado, licensed in Colorado (9025) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1255422853

Entity TypeIndividualFemale

Primary Taxonomy1223G0001X

Provider Legal NameDR. CLARISA KIM MANTANONACredential: D.D.S.

Location Address1920 VINDICATOR DR, SUITE 211Colorado Springs, CO 80919-3624

Mailing Address1920 Vindicator Dr, Suite 211Colorado Springs, CO 80919-3624 · (719) 314-2088 · Fax (719) 314-2089

Phone(719) 314-2088

Fax(719) 314-2089

Sole ProprietorNo

Enumeration DateSeptember 27, 2006

Last NPPES UpdateApril 9, 2010

✔ NPI 1255422853 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in CO · 9025

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.

1920 VINDICATOR DR, Colorado Springs, CO 80919

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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)

Dr. Clarisa Kim Mantanona D.d.s. 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 80919 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

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

CLARISA MANTANONA FAMILY DENTISTRY, P.C.

Dentist

1920 VINDICATOR DR, SUITE 211
COLORADO SPRINGS, CO 80919

El Paso County (719) 314-2088

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 Clarisa Mantanona's NPI number?

The NPI number for Clarisa Mantanona is 1255422853. It was assigned to this individual provider in the NPPES registry on September 27, 2006.

Where is Clarisa Mantanona located?

Clarisa Mantanona practices at 1920 Vindicator Dr Suite 211, Colorado Springs, CO 80919. The listed phone number is (719) 314-2088.

What is Clarisa Mantanona's specialty?

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

Is Clarisa Mantanona enrolled in Medicare?

Yes. Clarisa Mantanona is registered in the Medicare PECOS enrollment system.

What insurance does Clarisa Mantanona 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 Florida Combined Life and 5 other insurers list Clarisa Mantanona 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 Clarisa Mantanona was last updated on April 9, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.