Manente NC, PC

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

Legal business name

MANENTE NC, PC

Practice address

2301 Battleground Ave Ste 101
Greensboro, NC 27408-5425

Phone

(336) 890-8995

NPI assigned

May 16, 2023

Organization subpart

Yes

Parent organization

MANENTE NC, PCAs reported in NPPES

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

Authorized official

Name

Casey Lonabocker

Title

VP Operations & Strategy

Phone

(617) 535-3364

Specialties & licenses 1

Addresses

Other names 1

• Clear Smile Design Doing business as

Tax ID family

Manente NC PC2 organizations share this tax ID, including this one

Part of

Manente NC PC

Other organizations with this tax ID 1

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

• Manente NC, PC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Greensboro, NC
  • NPI 1700579489
  NPD tax ID

Locations

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

{
    "created_epoch": "1684195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732060800000",
    "number": "1255022869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 DARTMOUTH ST FL 3",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021165297",
            "telephone_number": "617-665-7241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 BATTLEGROUND AVE STE 101",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274085425",
            "telephone_number": "336-890-8995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANENTE NC, PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MANENTE NC, PC",
        "enumeration_date": "2023-05-16",
        "last_updated": "2024-11-20",
        "certification_date": "2024-11-20",
        "status": "A",
        "authorized_official_last_name": "LONABOCKER",
        "authorized_official_first_name": "CASEY",
        "authorized_official_title_or_position": "VP OPERATIONS & STRATEGY",
        "authorized_official_telephone_number": "617-535-3364"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clear Smile Design",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Clear Smile Design",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Alix Malpass, DPT
• Leslie A Malueg, DMD
• Sabina Manandhar
• David Mandalinich, D.D.S.
• Eric M Mandel
• Manente NC, PC
• Carrie Bruno Maness, CRNA
• Jennie A Maness, PT
• Natalie Strickland Maness, DPT
• Brenda L Manfredi, MD

• Orthodontics and Dentofacial Orthopedics Dentistry in Greensboro, NC
• Providers in Greensboro, NC by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 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.