Individual provider Active NPI

Brenda M Manzanares, DMD

  • Dentist
  • Odessa, FL
National Provider Identifier
1003487893
Registry record updated Aug 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN28872 Issued in FL
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

Updated by the provider on Aug 5, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
37418TXMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Sunrise Redstone PLLC CurrentSince Aug 3, 2025 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.

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.

Verify at the official NPI Registry.