NPIMap

Organization Active NPI

Mobile Endodontics, PC

Doing business as Mobile Endodontic Associates

  • Endodontics
  • Mobile, AL
National Provider Identifier
1467929018
Registry record updated Oct 31, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
Legal business name
MOBILE ENDODONTICS, PC
Doing business as
Mobile Endodontic Associates
Practice address
508 Georgian Dr
Mobile, AL 36609-3432
Phone
(251) 342-3433
Fax
(251) 342-3515
NPI assigned
Oct 31, 2018
Last updated
Oct 31, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2018

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

Authorized official

Name
Dr. Joan-Marie Shanahan Manolakis, DMDNPI 1114264629
Title
Practice Owner/Endodontist
Phone
(251) 342-3433

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endodontics 1223E0200X NU Primary

Addresses

Primary practice location

508 Georgian Dr
Mobile, AL 36609-3432

Mailing address

508 Georgian Dr
Mobile, AL 36609-3432
Phone (251) 342-3433

Other names 1

  • Mobile Endodontic Associates Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1540944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1540944000000",
    "number": "1467929018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "508 GEORGIAN DR",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366093432",
            "telephone_number": "251-342-3433",
            "fax_number": "251-342-3515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "508 GEORGIAN DR",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366093432",
            "telephone_number": "251-342-3433",
            "fax_number": "251-342-3515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBILE ENDODONTICS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-31",
        "last_updated": "2018-10-31",
        "status": "A",
        "authorized_official_last_name": "MANOLAKIS",
        "authorized_official_first_name": "JOAN-MARIE",
        "authorized_official_middle_name": "SHANAHAN",
        "authorized_official_title_or_position": "PRACTICE OWNER/ENDODONTIST",
        "authorized_official_telephone_number": "251-342-3433",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mobile Endodontic Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mobile, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2018; 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.