Manor Total Dental and Orthodontics PLLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

MANOR TOTAL DENTAL AND ORTHODONTICS PLLC

Doing business as

Manor Total Dental and Orthodontics

Practice address

11828 Ring Dr. Ste 102
Manor, TX 78653

Phone

(512) 649-3339

Fax

(512) 243-6838

NPI assigned

Apr 24, 2019

Last updated

Apr 24, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Faith Gaskins

Title

Director of Credentialing

Phone

(972) 869-3789

Specialties & licenses 1

Addresses

Other names 1

• Manor Total Dental and Orthodontics Doing business as

Tax ID family

Manor Total Dental and Orthodontics2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Manor Total Dental and Orthodontics PLLC

  dba Manor Total Dental and Orthodontics

  • Dentist
  • Manor, TX
  • NPI 1285168377
  NPD tax ID

Locations

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

{
    "created_epoch": "1556064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1556064000000",
    "number": "1215591391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2403 LACY LANE",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "75006",
            "telephone_number": "972-869-3789",
            "fax_number": "972-590-8809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11828 RING DR. STE 102",
            "city": "MANOR",
            "state": "TX",
            "postal_code": "78653",
            "telephone_number": "512-649-3339",
            "fax_number": "512-243-6838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANOR TOTAL DENTAL AND ORTHODONTICS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-24",
        "last_updated": "2019-04-24",
        "status": "A",
        "authorized_official_last_name": "GASKINS",
        "authorized_official_first_name": "FAITH",
        "authorized_official_title_or_position": "DIRECTOR OF CREDENTIALING",
        "authorized_official_telephone_number": "972-869-3789"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Manor Total Dental and Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Manor Independent School District
• Manor Modern Dentistry, PC
• Manor Orthodontic Associates, P.a. (Manor Orthodontics)
• Manor Pediatric Dental Associates PA (Manor Kids Dentistry)
• Manor Smiles, LLC (Tim Franklin)
• Manor Total Dental and Orthodontics PLLC (Manor Total Dental and Orthodontics)
• Manor Vision PLLC
• Susanna Martinez, LCDC
• Mary Transportation LLC (No)
• Tracie Vinette Mathis

• Durable Medical Equipment & Medical Supplies in Manor, TX
• Providers in Manor, TX by specialty
• Durable Medical Equipment & Medical Supplies in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2019; 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.