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DR. KATHERINE MANTZIKOS DMD
NPI 1396961546
Dentist - Periodontics in Fresh Meadows, NY

Active since April 17, 2007PECOS Enrolled
5031 194TH ST, FRESH MEADOWS, NY 11365(917) 833-0295 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Katherine Mantzikos Dmd NPPES

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

DR. KATHERINE MANTZIKOS DMD (NPI 1396961546) is an individual periodontics provider in Fresh Meadows, New York, licensed in New York (050197) and active in the NPI registry since April 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1396961546
Entity TypeIndividualFemale
Primary Taxonomy1223P0300X
Provider Legal NameDR. KATHERINE MANTZIKOSCredential: DMD
Location Address5031 194TH STFresh Meadows, NY 11365-1238
Mailing Address5031 194th StFresh Meadows, NY 11365-1238 · (917) 833-0295
Phone(917) 833-0295
Sole ProprietorYes
Enumeration DateApril 17, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1396961546 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
License✔ Licensed in NY · 050197
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
5031 194TH ST, Fresh Meadows, NY 11365
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana 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. Katherine Mantzikos 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 11365 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
$104.17 typical visit price
range $67.00 – $201.98
Typical copayment $26.04 (range $16.75 – $50.49)
Most-billed visit code 99203
Established Patient
$82.96 typical visit price
range $21.62 – $163.52
Typical copayment $20.74 (range $5.40 – $40.88)
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.

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 Katherine Mantzikos's NPI number?

The NPI number for Katherine Mantzikos is 1396961546. It was assigned to this individual provider in the NPPES registry on April 17, 2007.

Where is Katherine Mantzikos located?

Katherine Mantzikos practices at 5031 194th St, Fresh Meadows, NY 11365. The listed phone number is (917) 833-0295.

What is Katherine Mantzikos's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

Is Katherine Mantzikos enrolled in Medicare?

Yes. Katherine Mantzikos is registered in the Medicare PECOS enrollment system.

What insurance does Katherine Mantzikos accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 5 other insurers list Katherine Mantzikos 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 Katherine Mantzikos was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.