Organization Active NPI

Manna & Lancaster, LLC

  • General Practice Dentistry
  • Harrisburg, PA
National Provider Identifier
1306052329
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DS020315L Issued in PA
Legal business name
MANNA & LANCASTER, LLC
Practice address
4701 Duke St
Harrisburg, PA 17109-3041
Phone
(717) 657-3441
Fax
(717) 657-1616
NPI assigned
May 15, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Ralph Manna Jr., D.M.D.
Title
LLC Partner
Phone
(717) 657-3441

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DS020315L PA Primary

Addresses

Primary practice location

4701 Duke St
Harrisburg, PA 17109-3041

Mailing address

4701 Duke St
Harrisburg, PA 17109-3041
Phone (717) 657-3441

Other names 1

  • NONE Former legal business name

National Provider Directory

National Provider Directory

Locations

4701 Duke St
Harrisburg, PA 17109
Phone (717) 657-3441

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

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": "1598054400000",
    "number": "1306052329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4701 DUKE ST",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171093041",
            "telephone_number": "717-657-3441",
            "fax_number": "717-657-1616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4701 DUKE ST",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171093041",
            "telephone_number": "717-657-3441",
            "fax_number": "717-657-1616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANNA & LANCASTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MANNA",
        "authorized_official_first_name": "RALPH",
        "authorized_official_title_or_position": "LLC PARTNER",
        "authorized_official_telephone_number": "717-657-3441",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS020315L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NONE",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Harrisburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.