Organization Active NPI

Manalo Family Dentistry

  • General Practice Dentistry
  • Bethel Park, PA
National Provider Identifier
1336313477
Registry record updated Apr 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DS027484L Issued in PA
Legal business name
MANALO FAMILY DENTISTRY
Practice address
2414 Lytle Rd
Suite 106
Bethel Park, PA 15102-2736
Phone
(412) 835-4887
Fax
(412) 833-6785
NPI assigned
Apr 18, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2008

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

Authorized official

Name
Dr. Arsenio E Manalo, D.M.D.
Title
President
Phone
(412) 835-4887

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X DS027484L PA Primary

Addresses

Primary practice location

2414 Lytle Rd
Suite 106
Bethel Park, PA 15102-2736

Mailing address

2414 Lytle Rd
Suite 106
Bethel Park, PA 15102-2736
Phone (412) 835-4887

National Provider Directory

National Provider Directory

Locations

2414 Lytle Rd
Ste 106
Bethel Park, PA 15102
Phone (412) 835-4887

NPI Registry JSON

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

{
    "created_epoch": "1208476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208476800000",
    "number": "1336313477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2414 LYTLE RD",
            "address_2": "SUITE 106",
            "city": "BETHEL PARK",
            "state": "PA",
            "postal_code": "151022736",
            "telephone_number": "412-835-4887",
            "fax_number": "412-833-6785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2414 LYTLE RD",
            "address_2": "SUITE 106",
            "city": "BETHEL PARK",
            "state": "PA",
            "postal_code": "151022736",
            "telephone_number": "412-835-4887",
            "fax_number": "412-833-6785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANALO FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-18",
        "last_updated": "2008-04-18",
        "status": "A",
        "authorized_official_last_name": "MANALO",
        "authorized_official_first_name": "ARSENIO",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "412-835-4887",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS027484L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethel Park, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2008; 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.