Individual provider Active NPI

Laureano E. Manalo, DMD

  • General Practice Dentistry
  • Pittsburgh, PA
National Provider Identifier
1740358647
Registry record updated Oct 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DS027433L Issued in PA
Practice address
1580 McLaughlin Run Rd Ste 118
Pittsburgh, PA 15241-3100
Phone
(412) 221-2221
Fax
(412) 221-7290
NPI assigned
Dec 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2016

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 DS027433L PA Primary

Addresses

Primary practice location

1580 McLaughlin Run Rd Ste 118
Pittsburgh, PA 15241-3100

Mailing address

1580 McLaughlin Run Road, #118
Pittsburgh, PA 15241
Phone (412) 221-2221

Other names 1

  • Dr. Larry E. Manalo Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161129002542 PA Order and Referring Only - DentistPractitioner - Dentist 0547540098

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Larry B Manalo II DMD General Practice Past Accepting new patients
Larry E. Manalo DMD Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1164931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476316800000",
    "number": "1740358647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1580 MCLAUGHLIN RUN ROAD, #118",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "15241",
            "telephone_number": "412-221-2221",
            "fax_number": "412-221-7290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1580 MCLAUGHLIN RUN RD STE 118",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152413100",
            "telephone_number": "412-221-2221",
            "fax_number": "412-221-7290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANALO",
        "first_name": "LAUREANO",
        "middle_name": "E.",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-01",
        "last_updated": "2016-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS027433L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LARRY",
            "last_name": "MANALO",
            "middle_name": "E.",
            "prefix": "DR.",
            "credential": "DMD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.