Peter L Manis DMD PC

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

MA10293 Issued in MA

Legal business name

PETER L MANIS DMD PC

Practice address

145 Kenoza Ave
Haverhill, MA 01830-4141

Phone

(978) 374-0863

Fax

(978) 374-0527

NPI assigned

Dec 6, 2007

Organization subpart

Yes

Parent organization

PETER L MANIS DMD PCAs reported in NPPES

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

Authorized official

Name

Dr. Peter L Manis, DMD

Title

Pres of Corp

Phone

(978) 374-0863

Specialties & licenses 1

Addresses

Part of

Peter L Manis DMD PC

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

{
    "created_epoch": "1196899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196899200000",
    "number": "1639352289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 KENOZA AVE",
            "city": "HAVERHILL",
            "state": "MA",
            "postal_code": "018304141",
            "telephone_number": "978-374-0863",
            "fax_number": "978-374-0527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 KENOZA AVE",
            "city": "HAVERHILL",
            "state": "MA",
            "postal_code": "018304141",
            "telephone_number": "978-374-0863",
            "fax_number": "978-374-0527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETER L MANIS DMD PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PETER L MANIS DMD PC",
        "enumeration_date": "2007-12-06",
        "last_updated": "2007-12-06",
        "status": "A",
        "authorized_official_last_name": "MANIS",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRES OF CORP",
        "authorized_official_telephone_number": "978-374-0863",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "MA",
            "license": "MA10293",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelsey Perone
• Jessica Perreault
• Kelly Perry, LCSW
• Sofia Petalidas
• Peter C Moran MD
• Tu Pham
• Kim Phan, PHARMD
• Helen Phillips, LLMT
• Jorge Piccole
• Andrew R Piercey

• Orthodontics and Dentofacial Orthopedics Dentistry in Haverhill, MA
• Providers in Haverhill, MA by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2007; 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.