DR. CHRISTOPHER SCOTT MANIS JR. DMD - NPI 1770945479 - Oral & Maxillofacial Surgery in Boise, ID

Q: What is the provider's specialty?

The provider's specialty is Oral & Maxillofacial Surgery with taxonomy code 204E00000X.

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About Dr. Christopher Scott Manis Jr. Dmd NPPES

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

DR. CHRISTOPHER SCOTT MANIS JR. DMD (NPI 1770945479) is an individual oral & maxillofacial surgery provider in Boise, Idaho, licensed in Idaho (D-OS-5495) and active in the NPI registry since March 2016. He has opted out of Medicare through January 22, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1770945479

Entity TypeIndividualMale

Primary Taxonomy204E00000X

Provider Legal NameDR. CHRISTOPHER SCOTT MANIS JR.Credential: DMD

Location Address3003 W MAIN ST STE 130Boise, ID 83702-2026

Mailing Address3003 W Main St Ste 130Boise, ID 83702-2026 · (208) 342-7610

Phone(208) 342-7610

Sole ProprietorNo

Enumeration DateMarch 22, 2016

Last NPPES UpdateNovember 19, 20255 updates tracked since enumeration

NPPES CertifiedNovember 19, 2025

✔ NPI 1770945479 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOral & Maxillofacial SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code204E00000X

License✔ Licensed in ID · D-OS-5495

Definition

Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery.

Also ListedDentist · Oral and Maxillofacial SurgeryTaxonomy 1223S0112X · License D-5495 (ID)

3003 W MAIN ST STE 130, Boise, ID 83702

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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, Humana.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

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Opted out of Medicare

Dr. Christopher Scott Manis Jr. Dmd has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 22, 2024 through January 22, 2028.

Opt-Out Effective DateJanuary 22, 2024

Opt-Out In Effect ThroughJanuary 22, 2028Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.