Marissa Jeanette Manning, RDH

Primary specialty

Dental HygienistTaxonomy code 124Q00000X

License

DH00006241 Issued in WA

Practice address

7116 Stinson Ave Ste B315
Gig Harbor, WA 98335-1100

Phone

(253) 858-3457

Fax

(253) 853-4265

NPI assigned

Feb 28, 2007

Sex

Female

Sole proprietor

No

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.

• Upshur & Mirmnonsef D.D.S., P.S.

  • General Practice Dentistry
  • Gig Harbor, WA
  • NPI 1467577551
  NPD (past)

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

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1295862860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "621 132ND ST NW",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "983329646",
            "telephone_number": "253-858-9969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7116 STINSON AVE STE B315",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "983351100",
            "telephone_number": "253-858-3457",
            "fax_number": "253-853-4265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANNING",
        "first_name": "MARISSA",
        "middle_name": "JEANETTE",
        "name_prefix": "Ms.",
        "credential": "RDH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "WA",
            "license": "DH00006241",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Teresa Kay Maib, LCSW
• Malama Physical Therapy Performance and Pelvic Rehab PLLC
• Frances Grace Malley, LMP
• Rosemary Mallonee
• Heinz Eugene Malon, LMFT
• Stephanie Emiko Mano, OTR
• Manor Care of Gig Harbor Wa, Association
• Ludwig Manfred Mantay, ND
• Kimberly Mantia, CP60821274
• Margaret Royce Physical Therapy LLC

• Dental Hygienist in Gig Harbor, WA
• Providers in Gig Harbor, WA by specialty
• Dental Hygienist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.