Manalicorp, PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

MANALICORP, PLLC

Doing business as

Dental Illusions

Practice address

4101 Greenbriar Dr Ste 220
Houston, TX 77098-5260

Phone

(713) 528-3362

Fax

(713) 528-4512

NPI assigned

Jun 17, 2019

Last updated

Jun 17, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mychael Duffy, DDS

Title

Office Manager

Phone

(713) 528-3362

Specialties & licenses 1

Addresses

Other names 1

• Dental Illusions Doing business as

Locations

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

{
    "created_epoch": "1560729600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560729600000",
    "number": "1396305942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4101 GREENBRIAR DR STE 220",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770985260",
            "telephone_number": "713-528-3362",
            "fax_number": "713-528-4512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4101 GREENBRIAR DR STE 220",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770985260",
            "telephone_number": "713-528-3362",
            "fax_number": "713-528-4512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANALICORP, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-17",
        "last_updated": "2019-06-17",
        "status": "A",
        "authorized_official_last_name": "DUFFY",
        "authorized_official_first_name": "MYCHAEL",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "713-528-3362",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dental Illusions",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Managed Diagnostics LLC
• Management by Knight's Family, LLC
• Management Solutions Co (MGMT Solutions Co)
• Manah Assets LLC (Texas Care Cypress)
• Rohini Manaktala, D.O.
• Alianna Margaret Manalo
• Neal A Manalo, PA
• Jade Manansala, PHARM.D.
• Ummesalama Manaqibwala, M.D.
• Elisabet Manasanch, M.D.

• General Practice Dentistry in Houston, TX
• Providers in Houston, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2019; 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.