Mydental at Manor PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

MYDENTAL AT MANOR PLLC

Practice address

12836 Highway 290 E, Suite 500
Manor, TX 78653

Phone

(512) 815-3663

NPI assigned

Mar 15, 2024

Organization subpart

No

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

Authorized official

Name

Jinal Patel, DDS

Title

Owner

Phone

(512) 815-3663

Specialties & licenses 6

Addresses

Other names 1

• myDental at Manor Doing business as

Locations

Practitioners 1

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

• Haiying Zhang

  • Dentist
  • Manor, TX
  • NPI 1689374266
  NPD

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

{
    "created_epoch": "1710460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711065600000",
    "number": "1083473722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12836 US HIGHWAY 290 E STE 500",
            "city": "MANOR",
            "state": "TX",
            "postal_code": "786535522",
            "telephone_number": "512-815-3663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12836 HIGHWAY 290 E, SUITE 500",
            "city": "MANOR",
            "state": "TX",
            "postal_code": "78653",
            "telephone_number": "512-815-3663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MYDENTAL AT MANOR PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-15",
        "last_updated": "2024-03-22",
        "certification_date": "2024-03-20",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "JINAL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "512-815-3663",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Endodontics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223P0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Prosthodontics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "myDental at Manor",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "myDental at Manor",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Joshua Logan Morris, MD
• Kimberly Paige Morrison, LCDC
• MSC Health Texas LLC
• Lynda Mueller, MD
• Alafin Akia Mwanga Nguvu Erasto
• Hilary Nail, CST/CSFA
• Shawn Michele Neely-Otts, COTA
• New Hope Ranch
• Michael Wayne Newman Jr., IDMT
• Brittany Eula Norris, APRN-FNP-C

• 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 Mar 22, 2024; 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.