Manor Pediatric Dental Associates PA

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

MANOR PEDIATRIC DENTAL ASSOCIATES PA

Doing business as

Manor Kids Dentistry

Practice address

13419 US Highway 290 E
BLDG 9
Manor, TX 78653-4589

Phone

(512) 417-9101

NPI assigned

May 18, 2012

Last updated

May 18, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Don Hartsfield, DDS

Title

President

Phone

(512) 417-9101

Specialties & licenses 3

Addresses

Other names 1

• Manor Kids Dentistry Doing business as

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

{
    "created_epoch": "1337299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337299200000",
    "number": "1316207897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8900 LONE TREE DR",
            "city": "MANOR",
            "state": "TX",
            "postal_code": "786534843",
            "telephone_number": "512-417-9101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13419 US HIGHWAY 290 E",
            "address_2": "BLDG 9",
            "city": "MANOR",
            "state": "TX",
            "postal_code": "786534589",
            "telephone_number": "512-417-9101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANOR PEDIATRIC DENTAL ASSOCIATES PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-18",
        "last_updated": "2012-05-18",
        "status": "A",
        "authorized_official_last_name": "HARTSFIELD",
        "authorized_official_first_name": "DON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "512-417-9101",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Manor Kids Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Manor Family Orthodontics, PLLC (Manor Orthodontics)
• Manor Family Practice, PLLC (Manor Family Practice)
• Manor Independent School District
• Manor Modern Dentistry, PC
• Manor Orthodontic Associates, P.a. (Manor Orthodontics)
• Manor Smiles, LLC (Tim Franklin)
• Manor Total Dental and Orthodontics PLLC (Manor Total Dental and Orthodontics)
• Manor Total Dental and Orthodontics PLLC (Manor Total Dental and Orthodontics)
• Manor Vision PLLC
• Susanna Martinez, LCDC

• Pediatric Dentistry in Manor, TX
• Providers in Manor, TX by specialty
• Pediatric Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2012; 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.