Organization Active NPI

Manne & Borer Endodontics and Microsurgery PL

  • Endodontics
  • Palm Coast, FL
National Provider Identifier
1700330099
Registry record updated Aug 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
DN15628 Issued in FL
Legal business name
MANNE & BORER ENDODONTICS AND MICROSURGERY PL
Practice address
7 Boulder Rock Dr
Suite 1
Palm Coast, FL 32137-8546
Phone
(386) 446-0600
NPI assigned
Aug 4, 2016
Last updated
Aug 4, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2016

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

Authorized official

Name
Dr. Robert BorerNPI 1992918767
Title
Co-Owner
Phone
(386) 446-0600

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
EndodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223E0200X DN15628 FL Primary

Addresses

Primary practice location

7 Boulder Rock Dr
Suite 1
Palm Coast, FL 32137-8546

Mailing address

150 Sagebrush TRL
Suite 1
Ormond Beach, FL 32174-8102
Phone (386) 676-0705

National Provider Directory

National Provider Directory
Tax ID family
Manne Borer Endodontics and Microsurgery PL2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

150 Sagebrush Trl
Ste 1
Ormond Beach, FL 32174

7 Boulder Rock Dr
Ste 1
Palm Coast, FL 32137
Phone (386) 446-0600

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1470268800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470268800000",
    "number": "1700330099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 SAGEBRUSH TRL",
            "address_2": "SUITE 1",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321748102",
            "telephone_number": "386-676-0705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 BOULDER ROCK DR",
            "address_2": "SUITE 1",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321378546",
            "telephone_number": "386-446-0600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANNE & BORER ENDODONTICS AND MICROSURGERY PL",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-04",
        "last_updated": "2016-08-04",
        "status": "A",
        "authorized_official_last_name": "BORER",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "386-446-0600",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": "FL",
            "license": "DN15628",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Coast, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2016; 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.