Manning Family Dentistry

Primary specialty

DentistTaxonomy code 122300000X

License

9694 Issued in TN

Legal business name

MANNING FAMILY DENTISTRY

Practice address

1056 McArthur St
Manchester, TN 37355-2454

Phone

(931) 728-4143

Fax

(931) 728-8209

NPI assigned

May 23, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Charlie Dallas Manning IV, D.D.S.NPI 1821438367

Title

Sole Proprietor

Phone

(931) 728-4143

Specialties & licenses 1

Addresses

Other names 1

• Charlie D. Manning, DDS Doing business as

Locations

Practitioners 2

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

• Charlie Dallas Manning IV, D.D.S.

  • Dentist
  • Manchester, TN
  • NPI 1821438367
  NPD (past) Authorized official
• Benjamin Charles Spaulding Jr., DDS

  • General Practice Dentistry
  • Manchester, TN
  • NPI 1205945078
  NPD (past)

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

{
    "created_epoch": "1400803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453334400000",
    "number": "1174935233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1056 MCARTHUR ST",
            "city": "MANCHESTER",
            "state": "TN",
            "postal_code": "373552454",
            "telephone_number": "931-728-4143",
            "fax_number": "931-728-8209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1056 MCARTHUR ST",
            "city": "MANCHESTER",
            "state": "TN",
            "postal_code": "373552454",
            "telephone_number": "931-728-4143",
            "fax_number": "931-728-8209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANNING FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-23",
        "last_updated": "2016-01-21",
        "status": "A",
        "authorized_official_last_name": "MANNING",
        "authorized_official_first_name": "CHARLIE",
        "authorized_official_middle_name": "DALLAS",
        "authorized_official_title_or_position": "SOLE PROPRIETOR",
        "authorized_official_telephone_number": "931-728-4143",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "IV",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "TN",
            "license": "9694",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Charlie D. Manning, DDS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Manchester Eyecare LLC
• Manchester Family Healthcare
• Manchester Family Practice
• Manchester Residential, LLC
• Manchester Surgical Assoc
• Charlie Dallas Manning IV, D.D.S.
• Lindsay Head Manning, DDS
• Edgar Marceleno
• Thomas H. Marcrom, PHARM. D.
• Marcroms Pharmacy, P C

• Dentist in Manchester, TN
• Providers in Manchester, TN by specialty
• Dentist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 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.