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

Active since March 22, 2016Opted out of Medicare · through Jan 22, 2028
3003 W MAIN ST STE 130, BOISE, ID 83702(208) 342-7610 Get Directions Write a Review

NPPES record last updated: November 19, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 19, 2025, Jul 6, 2023, Apr 11, 2017 and 2 more (5 updates tracked since 2016).

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
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

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

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.

Other Providers at the Same Location NPPES 5

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

Dentist (Oral and Maxillofacial Surgery)
3003 W MAIN ST STE 130
BOISE, ID 83702
Dentist (Oral and Maxillofacial Surgery)
3003 W MAIN ST STE 130
BOISE, ID 83702
Dentist (Oral and Maxillofacial Surgery)
3003 W MAIN ST STE 130
BOISE, ID 83702
Dentist (Oral and Maxillofacial Pathology)
3003 W MAIN ST STE 130
BOISE, ID 83702
Oral & Maxillofacial Surgery
3003 W MAIN ST STE 130
BOISE, ID 83702

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 Christopher Manis's NPI number?

The NPI number for Christopher Manis is 1770945479. It was assigned to this individual provider in the NPPES registry on March 22, 2016.

Where is Christopher Manis located?

Christopher Manis practices at 3003 W Main St Ste 130, Boise, ID 83702. The listed phone number is (208) 342-7610.

What is Christopher Manis's specialty?

The primary specialty registered for this NPI is Oral & Maxillofacial Surgery with taxonomy code 204E00000X.

Is Christopher Manis enrolled in Medicare?

No. Christopher Manis has opted out of Medicare through January 22, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Christopher Manis accept?

Health plans from Anthem Blue Cross and Blue Shield and Humana list Christopher Manis 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 Christopher Manis was last updated on November 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.