NPIMap

Organization Active NPI

Gabriel Mannarino DDS PLLC

  • General Practice Dentistry
  • Williston, VT
National Provider Identifier
1013345966
Registry record updated Oct 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
016.0002256 Issued in VT
Legal business name
GABRIEL MANNARINO DDS PLLC
Practice address
160 James Brown Dr
Williston, VT 05495-7584
Phone
(802) 878-0600
Fax
(802) 878-9573
NPI assigned
Oct 30, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2013

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

Authorized official

Name
Gabriel Mannarino
Title
Dentist/Owner
Phone
(802) 878-0600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 016.0002256 VT Primary

Addresses

Primary practice location

160 James Brown Dr
Williston, VT 05495-7584

Mailing address

160 James Brown Dr
Williston, VT 05495-7584
Phone (802) 878-0600

National Provider Directory

National Provider Directory

Locations

160 James Brown Dr
Williston, VT 05495
Phone (802) 878-0600

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1383091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383091200000",
    "number": "1013345966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 JAMES BROWN DR",
            "city": "WILLISTON",
            "state": "VT",
            "postal_code": "054957584",
            "telephone_number": "802-878-0600",
            "fax_number": "802-878-9573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 JAMES BROWN DR",
            "city": "WILLISTON",
            "state": "VT",
            "postal_code": "054957584",
            "telephone_number": "802-878-0600",
            "fax_number": "802-878-9573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GABRIEL MANNARINO DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-30",
        "last_updated": "2013-10-30",
        "status": "A",
        "authorized_official_last_name": "MANNARINO",
        "authorized_official_first_name": "GABRIEL",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "802-878-0600"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "VT",
            "license": "016.0002256",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Williston, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2013; 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.