Active NPI
Theresa Manrique, DMD
- Dentist
- Wesley Chapel, FL
National Provider Identifier
1003361973
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DN22251
- Practice address
- 31806 Blythewood Way
Wesley Chapel, FL 33543-8153 - Phone
- (813) 325-1153
- NPI assigned
- Aug 22, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DN22251 | FL | Primary |
Addresses
Primary practice location
31806 Blythewood Way
Wesley Chapel, FL 33543-8153
Mailing address
Ardennes Road
Fort Bragg, NC 28310-0001
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN22251 | FL | MD | Dentist |
Networks
- Freedom Health HMO Network
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1471824000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1519689600000",
"number": "1003361973",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "ARDENNES ROAD",
"city": "FORT BRAGG",
"state": "NC",
"postal_code": "283100001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "31806 BLYTHEWOOD WAY",
"city": "WESLEY CHAPEL",
"state": "FL",
"postal_code": "335438153",
"telephone_number": "813-325-1153"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANRIQUE",
"first_name": "THERESA",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-08-22",
"last_updated": "2018-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "FL",
"license": "DN22251",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wesley Chapel, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.