Active NPI
Richard L McManaman, D.D.S., M.S.
- Orthodontics and Dentofacial Orthopedics Dentistry
- Longmont, CO
National Provider Identifier
1063570760
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- 82
- Practice address
- 1600 Hover St
Suite D-1
Longmont, CO 80501-2462 - Phone
- (303) 772-7722
- NPI assigned
- Dec 5, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 82 | CO | Primary |
Addresses
Primary practice location
1600 Hover St
Suite D-1
Longmont, CO 80501-2462
Mailing address
1600 Hover St
Suite D-1
Longmont, CO 80501-2462
Phone (303) 772-7722
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 82 | CO | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165276800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1063570760",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1600 HOVER ST",
"address_2": "SUITE D-1",
"city": "LONGMONT",
"state": "CO",
"postal_code": "805012462",
"telephone_number": "303-772-7722"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1600 HOVER ST",
"address_2": "SUITE D-1",
"city": "LONGMONT",
"state": "CO",
"postal_code": "805012462",
"telephone_number": "303-772-7722"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCMANAMAN",
"first_name": "RICHARD",
"middle_name": "L",
"credential": "D.D.S., M.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-05",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "CO",
"license": "82",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Longmont, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.