NPIMap

Organization Active NPI

Daniel B Manley DMD PSC

  • Dentist
  • Mt Sterling, KY
National Provider Identifier
1154497535
Registry record updated Jun 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
5357 Issued in KY
Legal business name
DANIEL B MANLEY DMD PSC
Practice address
1107 C Indian Mound Drive
Suite C
Mt Sterling, KY 40353
Phone
(859) 498-2356
Fax
(859) 498-2413
NPI assigned
Nov 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2008

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

Authorized official

Name
Dr. Daniel Bruce Manley, DMDNPI 1619162070
Title
DMD PSC
Phone
(859) 498-2356

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 5357 KY Primary

Addresses

Primary practice location

1107 C Indian Mound Drive
Suite C
Mt Sterling, KY 40353

Mailing address

1107 C Indian Mound Drive
Suite C
Mt Sterling, KY 40353
Phone (859) 498-2356

Other identifiers 2

IdentifierTypeStateIssuer
60053576MedicaidKY
4500368800MedicaidKY

Other names 1

  • Business Title Other name

National Provider Directory

National Provider Directory

Locations

1107 Indian Mound Dr
Ste C
Mt Sterling, KY 40353
Phone (859) 498-2356

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213660800000",
    "number": "1154497535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1107 C INDIAN MOUND DRIVE",
            "address_2": "SUITE C",
            "city": "MT STERLING",
            "state": "KY",
            "postal_code": "40353",
            "telephone_number": "859-498-2356",
            "fax_number": "859-498-2413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1107 C INDIAN MOUND DRIVE",
            "address_2": "SUITE C",
            "city": "MT STERLING",
            "state": "KY",
            "postal_code": "40353",
            "telephone_number": "859-498-2356",
            "fax_number": "859-498-2413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANIEL B MANLEY DMD PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-28",
        "last_updated": "2008-06-17",
        "status": "A",
        "authorized_official_last_name": "MANLEY",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "BRUCE",
        "authorized_official_title_or_position": "DMD PSC",
        "authorized_official_telephone_number": "859-498-2356",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "KY",
            "license": "5357",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "60053576",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4500368800",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Business Title",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Mt Sterling, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2008; 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.