Manor Modern Dentistry, PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

MANOR MODERN DENTISTRY, PC

Practice address

11910 US Highway 290 E Ste 420
Manor, TX 78653-4331

Phone

(512) 716-8167

Fax

(512) 716-8160

NPI assigned

Oct 13, 2025

Organization subpart

No

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

Authorized official

Name

Zhixin Guan, DDS

Title

Owner

Phone

(512) 716-8167

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Namita Thomas

  • General Practice Dentistry
  • Manor, TX
  • NPI 1871421586
  NPD (past)

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

{
    "created_epoch": "1760313600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768176000000",
    "number": "1033085527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 660041",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752660041",
            "telephone_number": "714-845-8890",
            "fax_number": "303-952-0892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11910 US HIGHWAY 290 E STE 420",
            "city": "MANOR",
            "state": "TX",
            "postal_code": "786534331",
            "telephone_number": "512-716-8167",
            "fax_number": "512-716-8160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANOR MODERN DENTISTRY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-13",
        "last_updated": "2026-01-12",
        "certification_date": "2026-01-12",
        "status": "A",
        "authorized_official_last_name": "GUAN",
        "authorized_official_first_name": "ZHIXIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "512-716-8167",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Manor Birth Sanctuary
• Manor Dental Associates
• Manor Family Orthodontics, PLLC
• Manor Family Practice, PLLC
• Manor Independent School District
• Manor Orthodontic Associates, P.a.
• Manor Pediatric Dental Associates PA
• Manor Smiles, LLC
• Manor Total Dental and Orthodontics PLLC
• Manor Total Dental and Orthodontics PLLC

• General Practice Dentistry in Manor, TX
• Providers in Manor, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 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.