Individual provider Active NPI

Jojo Arroll Lacerna Manato, D.D.S.

  • General Practice Dentistry
  • White Plains, MD
National Provider Identifier
1376782698
Registry record updated Feb 10, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DEN1000788 Issued in DC
Practice address
8817 Regent CT
White Plains, MD 20695-3451
Phone
(202) 390-6498
Fax
(202) 333-9276
NPI assigned
Feb 10, 2009
Last updated
Feb 10, 2009By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 10, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DEN1000788 DC Primary

Addresses

Primary practice location

8817 Regent CT
White Plains, MD 20695-3451

Mailing address

8817 Regent CT
White Plains, MD 20695-3451
Phone (202) 390-6498

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

State licenses

LicenseStateTypeSpecialty
DEN1000788DCMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1234224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1234224000000",
    "number": "1376782698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8817 REGENT CT",
            "city": "WHITE PLAINS",
            "state": "MD",
            "postal_code": "206953451",
            "telephone_number": "202-390-6498",
            "fax_number": "202-333-9276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8817 REGENT CT",
            "city": "WHITE PLAINS",
            "state": "MD",
            "postal_code": "206953451",
            "telephone_number": "202-390-6498",
            "fax_number": "202-333-9276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANATO",
        "first_name": "JOJO ARROLL",
        "middle_name": "LACERNA",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-02-10",
        "last_updated": "2009-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "DC",
            "license": "DEN1000788",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in White Plains, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2009; 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.