Active NPI
Brenda M Manzanares, DMD
- Dentist
- Odessa, FL
National Provider Identifier
1003487893
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DN28872
- Practice address
- 16238 Redstone Way
Odessa, FL 33556-4668 - Phone
- (813) 822-0477
- NPI assigned
- Jul 2, 2021
- 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 | DN28872 | FL | Primary |
Addresses
Primary practice location
16238 Redstone Way
Odessa, FL 33556-4668
Mailing address
16238 Redstone Way
Odessa, FL 33556-4668
Phone (843) 338-0023
Other practice location 1
30821 Mirada Blvd
San Antonio, FL 33576-7305
Phone (352) 668-9065
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 |
|---|---|---|---|
| 37418 | TX | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sunrise Redstone PLLC | Current | Accepting new patients |
Locations
16238 Redstone Way
Odessa, FL 33556
Phone (813) 822-0477
Networks
- FL HMO D-SNP
- Freedom Health HMO Network
- devoted network organization-84bf27aa-506a-49c4-8818-702cf5e8efb3
- FL HMO C-SNP
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Dental Clinic/Center
- Odessa, FL
- NPI 1124901368
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1625184000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785888000000",
"number": "1003487893",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16238 REDSTONE WAY",
"city": "ODESSA",
"state": "FL",
"postal_code": "335564668",
"telephone_number": "843-338-0023"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16238 REDSTONE WAY",
"city": "ODESSA",
"state": "FL",
"postal_code": "335564668",
"telephone_number": "813-822-0477"
}
],
"practiceLocations": [
{
"address_1": "30821 Mirada Blvd",
"address_purpose": "LOCATION",
"city": "San Antonio",
"state": "FL",
"postal_code": "335767305",
"country_code": "US",
"telephone_number": "352-668-9065",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MANZANARES",
"first_name": "BRENDA",
"middle_name": "M",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-07-02",
"last_updated": "2026-08-05",
"certification_date": "2026-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "FL",
"license": "DN28872",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Odessa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.