Individual provider Active NPI

Angela Lynn Manning, D.D.S

  • General Practice Dentistry
  • Rye Brook, NY
National Provider Identifier
1558427310
Registry record updated Aug 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
052156 Issued in NY
Practice address
555 Westchester Ave
Rye Brook, NY 10573-2859
Phone
(914) 305-6555
NPI assigned
Dec 28, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 18, 2020

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 052156 NY Primary

Addresses

Primary practice location

555 Westchester Ave
Rye Brook, NY 10573-2859

Mailing address

555 Westchester Ave
Rye Brook, NY 10573-2859
Phone (914) 305-6555

Other practice location 1

66 Milton Rd Apt A13
Rye, NY 10580-7819
Phone (914) 967-1123

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

NPI Registry JSON

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

{
    "created_epoch": "1167264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597708800000",
    "number": "1558427310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 WESTCHESTER AVE",
            "city": "RYE BROOK",
            "state": "NY",
            "postal_code": "105732859",
            "telephone_number": "914-305-6555",
            "fax_number": "914-967-2776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 WESTCHESTER AVE",
            "city": "RYE BROOK",
            "state": "NY",
            "postal_code": "105732859",
            "telephone_number": "914-305-6555"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "66 Milton Rd Apt A13",
            "address_purpose": "LOCATION",
            "city": "Rye",
            "state": "NY",
            "postal_code": "105807819",
            "country_code": "US",
            "telephone_number": "914-967-1123",
            "fax_number": "914-967-2776",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MANNING",
        "first_name": "ANGELA",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-28",
        "last_updated": "2020-08-18",
        "certification_date": "2020-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "052156",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rye Brook, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 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.