Alissa Mariano, DMD, FACP

Primary specialty

ProsthodonticsTaxonomy code 1223P0700X

License

DN1857278 Issued in MA

Practice address

16 Gerrard Ave
East Longmeadow, MA 01028

Phone

(413) 731-8814

NPI assigned

Mar 28, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1459123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594080000000",
    "number": "1396107355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 GERRARD AVE",
            "city": "EAST LONGMEADOW",
            "state": "MA",
            "postal_code": "010281606",
            "telephone_number": "413-731-8814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 GERRARD AVE",
            "city": "EAST LONGMEADOW",
            "state": "MA",
            "postal_code": "01028",
            "telephone_number": "413-731-8814"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "466 Shawmut Ave",
            "address_2": "Apt 1",
            "address_purpose": "LOCATION",
            "city": "Boston",
            "state": "MA",
            "postal_code": "021183836",
            "country_code": "US",
            "telephone_number": "413-250-3925",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "50 Staniford St Fl 5",
            "address_purpose": "LOCATION",
            "city": "Boston",
            "state": "MA",
            "postal_code": "021142517",
            "country_code": "US",
            "telephone_number": "617-523-5451",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARIANO",
        "first_name": "ALISSA",
        "credential": "DMD, FACP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-28",
        "last_updated": "2020-07-07",
        "certification_date": "2020-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "DN1857278",
            "primary": false
        },
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "MA",
            "license": "DN1857278",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thenu Manikantan, M.D.
• Raymond Manniello, D.D.S.
• Nichole Manning
• Maple Dental Associates
• Ursa Marder
• Carolyn Mars
• Winifred Martin, LICSW, EDD
• Matuszczak Chiropratic Consulting
• Richard J Matuszczak, DC
• Maxillofacial & Implant Surgery of Western Mass PC

• Prosthodontics in East Longmeadow, MA
• Providers in East Longmeadow, MA by specialty
• Prosthodontics in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2020; 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.