Deborah Manne, MSN, RN, RDH

Primary specialty

Dental HygienistTaxonomy code 124Q00000X

License

001136 Issued in MO

Practice address

1500 Park Ave
Saint Louis, MO 63104-3024

Phone

(636) 778-9003

NPI assigned

Oct 29, 2024

Sex

Female

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)

Not enrolled

Credentials

Master of Science - Nursing, Registered Nurse

State licenses

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

{
    "created_epoch": "1730160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730160000000",
    "number": "1235951302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 UPPER CONWAY CT",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630172076",
            "telephone_number": "636-778-9003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 PARK AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631043024",
            "telephone_number": "636-778-9003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANNE",
        "first_name": "DEBORAH",
        "name_prefix": "Mrs.",
        "credential": "MSN, RN, RDH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-10-29",
        "last_updated": "2024-10-29",
        "certification_date": "2024-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "MO",
            "license": "001136",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Justin Mann
• Melissa F Mann, DPT
• Nicholas Loftin Mann, MD
• Sayan Manna, MD
• Mohannad Mohammad Mannaa, MD
• Arun Reddy Mannem, MD
• Kylie Manner, MA, PLPC
• Audrey Jane Manners
• Philip Mannhard, D.D.S
• Blaine T Manning, MD

• Dental Hygienist in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Dental Hygienist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2024; 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.