Gregory R Manning, DDS PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

7453 Issued in AZ

Practice address

4365 E Pecos Rd
132
Gilbert, AZ 85295-7875

Phone

(480) 988-2373

Fax

(480) 988-2474

NPI assigned

Apr 11, 2007

Sex

Male

Sole proprietor

Yes

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

Medicare enrollment (NPD)

Enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: dentistryatpowerranch.gregorymanning@148912.advancedmd-direct.com

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

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455148800000",
    "number": "1124241641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4365 E PECOS RD",
            "address_2": "132",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852957875",
            "telephone_number": "480-988-2373",
            "fax_number": "480-988-2474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4365 E PECOS RD",
            "address_2": "132",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852957875",
            "telephone_number": "480-988-2373",
            "fax_number": "480-988-2474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANNING",
        "first_name": "GREGORY",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "DDS PLLC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-11",
        "last_updated": "2016-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "7453",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mariano Vittorio Maniscalco, DO
• James A Mankin, M.D.
• Russell Worth Manktelow, D.C.
• Brianna Mannetter
• Bryan Allen Manning, RBT
• Jessica Susan Manning, NP
• Melissa Manning, FNTP, FSS, ONC
• Matthew J Mannino, D.C.
• Malica Deepti Mantrala, MD
• Kalyan C Mantripragada, MD

• General Practice Dentistry in Gilbert, AZ
• Providers in Gilbert, AZ by specialty
• General Practice Dentistry in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2016; 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.