Joan-Marie Shanahan Manolakis, D.M.D.

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

5957 Issued in AL

Practice address

508 Georgian Dr
Mobile, AL 36609-3432

Phone

(251) 342-3433

Fax

(251) 342-3434

NPI assigned

Jan 4, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Mobile Endodontics, PC

  • Endodontics
  • Mobile, AL
  • NPI 1467929018
  NPD (past) Authorized official
• Mobile Endodontic Associates, PC

  • Endodontics
  • Mobile, AL
  • NPI 1003252719
  NPD (past)

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

{
    "created_epoch": "1357257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493251200000",
    "number": "1114264629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "508 GEORGIAN DR",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366093432",
            "telephone_number": "251-342-3433",
            "fax_number": "251-342-3434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "508 GEORGIAN DR",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366093432",
            "telephone_number": "251-342-3433",
            "fax_number": "251-342-3434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANOLAKIS",
        "first_name": "JOAN-MARIE",
        "middle_name": "SHANAHAN",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-01-04",
        "last_updated": "2017-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "AL",
            "license": "5957",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alicia Renee Mann, D.O.
• Darrell Randolph Manning, LPC
• Joshua Manning, PHARM.D.
• Kathleen Roxanne Manning, AGPCNP-BC
• Suganya Manoharan, MD
• Madison Mapson
• Malaika Maqbool
• Ashley Denise Marass, CRNP
• Eden Marble
• Stephen M Marbut, M.D.

• Endodontics in Mobile, AL
• Providers in Mobile, AL by specialty
• Endodontics in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.