Manito Family Dentistry

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

6172 Issued in WA

Legal business name

MANITO FAMILY DENTISTRY

Practice address

3615 S Grand Blvd
Spokane, WA 99203-2624

Phone

(509) 456-8676

Fax

(509) 456-8678

NPI assigned

Aug 16, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Mitchell J Orsi, DDS

Title

Dentist/Owner

Phone

(509) 456-8676

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

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

• Elleigh Jae Bates, DDS

  • Dentist
  • Spokane, WA
  • NPI 1265201057
  NPD (past)
• Kelly Hennessey Somers, DDS

  • General Practice Dentistry
  • Spokane, WA
  • NPI 1780160333
  NPD (past)

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

{
    "created_epoch": "1471305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471305600000",
    "number": "1316492671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3615 S GRAND BLVD",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992032624",
            "telephone_number": "509-456-8676",
            "fax_number": "509-456-8678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3615 S GRAND BLVD",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992032624",
            "telephone_number": "509-456-8676",
            "fax_number": "509-456-8678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANITO FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-16",
        "last_updated": "2016-08-16",
        "status": "A",
        "authorized_official_last_name": "ORSI",
        "authorized_official_first_name": "MITCHELL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "509-456-8676",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "WA",
            "license": "6172",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DELTA DENTAL OF WASHINGTON",
            "identifier": "56172",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Deepthi Mani, MD
• Elizabeth Joan Manion, LMHC
• Kathleen M Manion, ARNP
• Lewi Manirumva
• Manito Comfort Adult Family Home LLC (Manito Comfort Adult Family Home)
• Manito Presbyterian Church
• John Maxwell Manix, MHCAL
• Cristina Mankin
• Bobbi Manley
• Brenda Kaye Manley, PHARMD

• Dental Clinic/Center in Spokane, WA
• Providers in Spokane, WA by specialty
• Dental Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 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.