Active NPI
James D Manning, DDS MDS
- Periodontics
- Monaca, PA
National Provider Identifier
1619084597
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- License
- DS030423L
- Practice address
- 3582 Brodhead Road
Monaca, PA 15061 - Phone
- (724) 728-5050
- Fax
- (724) 728-3458
- NPI assigned
- Aug 24, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Periodontics | 1223P0300X | DS030423L | PA | Primary |
Addresses
Primary practice location
3582 Brodhead Road
Monaca, PA 15061
Mailing address
3582 Brodhead Road
Monaca, PA 15061
Phone (724) 728-5050
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 695492 | Other | UNITED CONCORDIA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Jan 25, 2016 through Jan 25, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DS030423L | PA | MD | Periodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156377600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1619084597",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3582 BRODHEAD ROAD",
"city": "MONACA",
"state": "PA",
"postal_code": "15061",
"telephone_number": "724-728-5050",
"fax_number": "724-728-3458"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3582 BRODHEAD ROAD",
"city": "MONACA",
"state": "PA",
"postal_code": "15061",
"telephone_number": "724-728-5050",
"fax_number": "724-728-3458"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANNING",
"first_name": "JAMES",
"middle_name": "D",
"name_prefix": "Dr.",
"credential": "DDS MDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-24",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "PA",
"license": "DS030423L",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED CONCORDIA",
"identifier": "695492",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Monaca, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.