Individual provider Active NPI

Tiffany N Manzo, DDS

  • Dentist
  • Wheat Ridge, CO
National Provider Identifier
1447565395
Registry record updated Jun 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
10269 Issued in CO
Practice address
12495 W 32ND Ave
Wheat Ridge, CO 80033-5288
Phone
(303) 237-2707
NPI assigned
Aug 16, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 10, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 10269 CO Primary

Addresses

Primary practice location

12495 W 32ND Ave
Wheat Ridge, CO 80033-5288

Mailing address

12495 W 32ND Ave
Wheat Ridge, CO 80033-5256
Phone (303) 237-2707

Other names 1

  • Tiffany Manzo Jenkins Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231218002716 CO Order and Referring Only - DentistPractitioner - Dentist 0749589141

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10269COMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Tiffany Manzo Jenkins Dentist Current Accepting new patients
Cettie-Manzo, DDS, PC Current Accepting new patients
Applewood Center for Winning Smiles, P.C. Past Accepting new patients

Locations

12495 W 32nd Ave
Ste 2
Wheat Ridge, CO 80033
Phone (303) 237-2707

12495 W 32nd Ave
Wheat Ridge, CO 80033
Phone (303) 237-2707

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1281916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781049600000",
    "number": "1447565395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12495 W 32ND AVE",
            "city": "WHEAT RIDGE",
            "state": "CO",
            "postal_code": "800335256",
            "telephone_number": "303-237-2707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12495 W 32ND AVE",
            "city": "WHEAT RIDGE",
            "state": "CO",
            "postal_code": "800335288",
            "telephone_number": "303-237-2707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANZO",
        "first_name": "TIFFANY",
        "middle_name": "N",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-08-16",
        "last_updated": "2026-06-10",
        "certification_date": "2026-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CO",
            "license": "10269",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TIFFANY",
            "last_name": "MANZO JENKINS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Wheat Ridge, CO

Sources for this page

Verify at the official NPI Registry.