Kevin Scott Manzella, DDS, MS

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

059107-1 Issued in NY

Practice address

4306 Seneca St
West Seneca, NY 14224-3169

Phone

(716) 337-5066

Fax

(716) 677-5413

NPI assigned

Aug 8, 2017

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

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.

• Laurence C. Wright, D.D.S., P.C.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Amherst, NY
  • NPI 1295826634
  NPD (past)
• Matthew Walla DDS PLLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Amherst, NY
  • NPI 1164100855
  NPD (past)

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

{
    "created_epoch": "1502150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1144745472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "327 EUCLID AVE",
            "city": "KENMORE",
            "state": "NY",
            "postal_code": "142172903",
            "telephone_number": "716-785-4684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4306 SENECA ST",
            "city": "WEST SENECA",
            "state": "NY",
            "postal_code": "142243169",
            "telephone_number": "716-337-5066",
            "fax_number": "716-677-5413"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3985 Main St",
            "address_purpose": "LOCATION",
            "city": "Amherst",
            "state": "NY",
            "postal_code": "142263404",
            "country_code": "US",
            "telephone_number": "716-832-1550",
            "fax_number": "716-832-6462",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MANZELLA",
        "first_name": "KEVIN",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "DDS, MS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-08-08",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "059107-1",
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NY",
            "license": "059107-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Philip A Maniscalco
• Lucas Mann, P.T.
• Marcy Manning, PTA
• Michelle Jeanne Manning
• Thomas William Mannion, RPH
• Janeen Marchitte, LPN
• Tracy A Marciano, MS, BA, CMT
• Cynthia R Marczak, RN
• Maria D. Bruno, M.D. LLC
• Olivia Louise Marks

• Orthodontics and Dentofacial Orthopedics Dentistry in West Seneca, NY
• Providers in West Seneca, NY by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.