Individual provider Active NPI

Sheree Mananzan, D.D.S.

  • General Practice Dentistry
  • Spring Valley, NY
National Provider Identifier
1639285679
Registry record updated Mar 19, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
052318 Issued in NY
Practice address
175 Route 59
Dental Dept.
Spring Valley, NY 10977-5231
Phone
(917) 566-3979
NPI assigned
Aug 22, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2009

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 052318 NY Primary

Addresses

Primary practice location

175 Route 59
Dental Dept.
Spring Valley, NY 10977-5231

Mailing address

31 Harmony Rd
Spring Valley, NY 10977-2326
Phone (917) 566-3979

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

State licenses

LicenseStateTypeSpecialty
052318NYMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1156204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1237420800000",
    "number": "1639285679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 HARMONY RD",
            "city": "SPRING VALLEY",
            "state": "NY",
            "postal_code": "109772326",
            "telephone_number": "917-566-3979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 ROUTE 59",
            "address_2": "DENTAL DEPT.",
            "city": "SPRING VALLEY",
            "state": "NY",
            "postal_code": "109775231",
            "telephone_number": "917-566-3979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANANZAN",
        "first_name": "SHEREE",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-22",
        "last_updated": "2009-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "052318",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring Valley, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2009; 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.