NPIMap

Organization Active NPI

Charles a Manilla D.D.S.,M,S.,Inc

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Hamilton, OH
National Provider Identifier
1295941524
Registry record updated Nov 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
15638 Issued in OH
Legal business name
CHARLES A MANILLA D.D.S.,M,S.,INC
Practice address
347 Park Ave
Hamilton, OH 45013-3051
Phone
(513) 737-6442
Fax
(513) 737-3501
NPI assigned
May 15, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2019

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

Authorized official

Name
Cynthia Ann Miller
Title
Office Manager
Phone
(513) 737-6442

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X 15638 OH Primary

Addresses

Primary practice location

347 Park Ave
Hamilton, OH 45013-3051

Mailing address

347 Park Ave
Hamilton, OH 45013-3051
Phone (513) 737-6442

National Provider Directory

National Provider Directory

Locations

347 Park Ave
Hamilton, OH 45013
Phone (513) 737-6442

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1573084800000",
    "number": "1295941524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "347 PARK AVE",
            "city": "HAMILTON",
            "state": "OH",
            "postal_code": "450133051",
            "telephone_number": "513-737-6442",
            "fax_number": "513-737-3501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "347 PARK AVE",
            "city": "HAMILTON",
            "state": "OH",
            "postal_code": "450133051",
            "telephone_number": "513-737-6442",
            "fax_number": "513-737-3501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLES A MANILLA D.D.S.,M,S.,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-15",
        "last_updated": "2019-11-07",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "513-737-6442"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "OH",
            "license": "15638",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hamilton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2019; 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.