Active NPI
Dana Manfull, RDH
- Dental Hygienist
- Klamath Falls, OR
National Provider Identifier
1376463406
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- H5211
- Practice address
- 5017 Southview Dr
Klamath Falls, OR 97603-8545 - Phone
- (541) 903-9079
- NPI assigned
- Jul 20, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | H5211 | OR | Primary |
Addresses
Primary practice location
5017 Southview Dr
Klamath Falls, OR 97603-8545
Mailing address
3322 Raymond St
Klamath Falls, OR 97603-7050
Phone (541) 601-1768
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1784505600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784505600000",
"number": "1376463406",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3322 RAYMOND ST",
"city": "KLAMATH FALLS",
"state": "OR",
"postal_code": "976037050",
"telephone_number": "541-601-1768",
"fax_number": "541-903-9079"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5017 SOUTHVIEW DR",
"city": "KLAMATH FALLS",
"state": "OR",
"postal_code": "976038545",
"telephone_number": "541-903-9079"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANFULL",
"first_name": "DANA",
"credential": "RDH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-07-20",
"last_updated": "2026-07-20",
"certification_date": "2026-07-18",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "OR",
"license": "H5211",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Klamath Falls, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.