Allison Layne Manz, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

2015016746 Issued in MO

Practice address

2000 N Gaines Dr
Clinton, MO 64735-1132

Phone

(844) 853-8937

NPI assigned

May 13, 2015

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

Other identifiers 1

Other names 1

• Allison Layne Meyer Former name

Medicare fee-for-service enrollment

Enrolled in MO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Samuel U. Rodgers Health Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Kansas City, MO
  • NPI 1578570982
  Medicare reassignment NPD
• Samuel U. Rodgers Health Center, Inc

  • Federally Qualified Health Center (FQHC)
  • Kansas City, MO
  • NPI 1326674144
  NPD

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

{
    "created_epoch": "1431475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578441600000",
    "number": "1326426172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 COMMUNITY",
            "city": "CLINTON",
            "state": "MO",
            "postal_code": "647358804",
            "telephone_number": "660-885-8131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 N GAINES DR",
            "city": "CLINTON",
            "state": "MO",
            "postal_code": "647351132",
            "telephone_number": "844-853-8937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANZ",
        "first_name": "ALLISON",
        "middle_name": "LAYNE",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-05-13",
        "last_updated": "2020-01-08",
        "certification_date": "2020-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MO",
            "license": "2015016746",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1326426172",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALLISON",
            "last_name": "MEYER",
            "middle_name": "LAYNE",
            "credential": "DDS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jacqueline T. Macleod, RN
• Melissa Magnin, LCSW
• Samantha L Mahoney, DDS
• Nelaine Malcolm, SLP
• Colten Manning, RBT
• Kenneth Marek, RRT
• Alexandria Markham, RBT
• Saska Natalie Marshall, PA
• Mary Martin, PTA
• Samantha Mayes, DDS

• Dentist in Clinton, MO
• Providers in Clinton, MO by specialty
• Dentist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.