Louison Leonard Manningham Jr., D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2901022063 Issued in MI

Practice address

4911 W St Joe Hwy
Lansing, MI 48917-4088

Phone

(517) 321-1848

NPI assigned

Sep 9, 2016

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Peak Performance Physical Therapy, PLC

  • Physical Therapist
  • Lansing, MI
  • NPI 1134428642
  NPD (past)
• Schaefer Dental Group - Grand Rapids, PLLC

  • General Practice Dentistry
  • Jenison, MI
  • NPI 1174333991
  NPD (past)

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

{
    "created_epoch": "1473379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473379200000",
    "number": "1285181016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4911 W ST JOE HWY",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489174088",
            "telephone_number": "517-321-1848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4911 W ST JOE HWY",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489174088",
            "telephone_number": "517-321-1848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANNINGHAM",
        "first_name": "LOUISON",
        "middle_name": "LEONARD",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-09-09",
        "last_updated": "2016-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901022063",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edmon Mann, CSW
• Garry Mann
• Joel Permoda Mann, OTR
• Stephanie Mann, D.O.
• Paula Manning
• Linda Sue Manser
• Shay Mansoor, MD
• Nadeen Mansour, MD
• Andre Manuel
• Arisa Manuel

• General Practice Dentistry in Lansing, MI
• Providers in Lansing, MI by specialty
• General Practice Dentistry in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2016; 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.