NPIMap

Organization Active NPI

Manor Total Dental and Orthodontics PLLC

Doing business as Manor Total Dental and Orthodontics

  • Dentist
  • Manor, TX
National Provider Identifier
1285168377
Registry record updated Oct 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
MANOR TOTAL DENTAL AND ORTHODONTICS PLLC
Doing business as
Manor Total Dental and Orthodontics
Practice address
11828 Ring Dr
Suite 102
Manor, TX 78653
Phone
(512) 649-3339
Fax
(972) 590-8809
NPI assigned
Apr 14, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2018

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

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

11828 Ring Dr
Suite 102
Manor, TX 78653

Mailing address

2403 Lacy Lane
Carrollton, TX 75006
Phone (972) 869-3789

Other names 1

  • Manor Total Dental and Orthodontics Doing business as

National Provider Directory

National Provider Directory
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.

NPI Registry JSON

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

{
    "created_epoch": "1492128000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1540252800000",
    "number": "1285168377",
    "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",
            "address_2": "SUITE 102",
            "city": "MANOR",
            "state": "TX",
            "postal_code": "78653",
            "telephone_number": "512-649-3339",
            "fax_number": "972-590-8809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANOR TOTAL DENTAL AND ORTHODONTICS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-14",
        "last_updated": "2018-10-23",
        "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": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Manor Total Dental and Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Manor, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2018; 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.