Manzanita Kids Dentistry & Orthodontics, PLLC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

21450 Issued in TX

Legal business name

MANZANITA KIDS DENTISTRY & ORTHODONTICS, PLLC

Practice address

11800 Dessau Rd
Suite 203
Austin, TX 78754-2154

Phone

(210) 884-5750

NPI assigned

Jul 2, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Gloria Yanez, D.D.S., M.S.NPI 1093907602

Title

Pediatric Dentist

Phone

(210) 884-5750

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.

• Gloria Yanez, D.D.S., MS

  • Pediatric Dentistry
  • Austin, TX
  • NPI 1093907602
  NPD Authorized official

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

{
    "created_epoch": "1435795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749427200000",
    "number": "1104209535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11800 DESSAU RD STE 203",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787542187",
            "telephone_number": "512-490-1212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11800 DESSAU RD",
            "address_2": "SUITE 203",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787542154",
            "telephone_number": "210-884-5750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANZANITA KIDS DENTISTRY & ORTHODONTICS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-02",
        "last_updated": "2025-06-09",
        "certification_date": "2025-06-09",
        "status": "A",
        "authorized_official_last_name": "YANEZ",
        "authorized_official_first_name": "GLORIA",
        "authorized_official_title_or_position": "PEDIATRIC DENTIST",
        "authorized_official_telephone_number": "210-884-5750",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S., M.S."
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "TX",
            "license": "21450",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacob Benjamin Manuel, MD
• Kimberley Lauren Manuel
• Leticia M Manuel, CRNA
• Jennifer Manweiler, LPC
• Ronald M. Manzanero, M.D.
• Elyse Nicole Manzello
• Diana Manzo, LBSW
• Map Care Solutions, LLC
• Map Health Management, L.L.C.
• Anne Y Maple, CRNA

• Pediatric Dentistry in Austin, TX
• Providers in Austin, TX by specialty
• Pediatric Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2025; 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.