Perrie Lyn Manin, D.M.D.

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

DEN.00205097 Issued in CO

Practice address

9334 Grand Cordera Pkwy
Colorado Springs, CO 80924-7000

Phone

(719) 282-6666

NPI assigned

Apr 23, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Dr. Perrie Lyn Epstein Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Erickson Pediatric Dentistry & Orthodontics PC

  • Pediatric Dentistry
  • Colorado Springs, CO
  • NPI 1932358496
  NPD
• Monument Child Dental & Orthodontic Specialists PC

  • Pediatric Dentistry
  • Colorado Springs, CO
  • NPI 1992063176
  NPD

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

{
    "created_epoch": "1587600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674518400000",
    "number": "1780204362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9334 GRAND CORDERA PKWY",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809247000",
            "telephone_number": "719-282-6666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9334 GRAND CORDERA PKWY",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809247000",
            "telephone_number": "719-282-6666"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "850 Sky Vista Point",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "80921",
            "country_code": "US",
            "telephone_number": "719-282-6666",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MANIN",
        "first_name": "PERRIE",
        "middle_name": "LYN",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-04-23",
        "last_updated": "2023-01-24",
        "certification_date": "2023-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "282NC2000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Children",
            "state": "PA",
            "license": null,
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CO",
            "license": "DEN.00205097",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PERRIE",
            "last_name": "EPSTEIN",
            "middle_name": "LYN",
            "prefix": "DR.",
            "credential": "D.M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Rebecca Mangum
• Samantha Wilson Manhardt, DPT
• Andrea Nicolette Manhart, D. O,
• Christopher Manhart, DO
• Gabrielle Manig
• Cindy Ann Maniscalco, RMT
• Reena Annetta Manka, CACII
• Sarah Ard Manka
• Andrew Manke, DPT
• Kaitlyn Manke

• Pediatric Dentistry in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Pediatric Dentistry in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2023; 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.