Ronald Giles Manzer, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

5919 Issued in MD

Practice address

106 Prospect Rd.
Suite 5
Mt. Airy, MD 21771

Phone

(301) 829-2277

Fax

(301) 829-0256

NPI assigned

Sep 9, 2008

Last updated

Sep 9, 2008By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1220918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1220918400000",
    "number": "1255589743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 259",
            "city": "MT. AIRY",
            "state": "MD",
            "postal_code": "21771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 PROSPECT RD.",
            "address_2": "SUITE 5",
            "city": "MT. AIRY",
            "state": "MD",
            "postal_code": "21771",
            "telephone_number": "301-829-2277",
            "fax_number": "301-829-0256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANZER",
        "first_name": "RONALD",
        "middle_name": "GILES",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-09-09",
        "last_updated": "2008-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MD",
            "license": "5919",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "527021",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Dentist in Mount Airy, MD
• Providers in Mount Airy, MD by specialty
• Dentist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 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.