Maria A Manautou, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

2901017368 Issued in MI

Practice address

20901 Moross Rd
Detroit, MI 48236-2058

Phone

(313) 626-2620

Fax

(313) 626-2605

NPI assigned

Aug 30, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435708800000",
    "number": "1699885319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20901 MOROSS RD",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482362058",
            "telephone_number": "313-626-2620",
            "fax_number": "313-626-2605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20901 MOROSS RD",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482362058",
            "telephone_number": "313-626-2620",
            "fax_number": "313-626-2605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANAUTOU",
        "first_name": "MARIA",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-30",
        "last_updated": "2015-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901017368",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• George Dominic Mammo, MD, MS
• Nicole Mammo
• Monina Serraon Mana
• Monique Mana
• Amorn Manadee, M.D.
• Kathryn Mancani
• Gail L. Mancini, P.A.
• Kendra Nicole Mancini, AGACNP-BC
• Laurie A Mancini, CNP
• Stone Manczak, FNP-BC

• Dentist in Detroit, MI
• Providers in Detroit, MI by specialty
• Dentist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2015; 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.