Manske Dental Corporation

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

59357 Issued in CA

Legal business name

MANSKE DENTAL CORPORATION

Doing business as

Mouthrover

Practice address

445 N Alfred St
Los Angeles, CA 90048-2504

Phone

(424) 354-9336

Fax

(424) 322-4781

NPI assigned

Mar 24, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Jessica Lynn Manske, DDSNPI 1083926323

Title

Ceo

Phone

(424) 354-9336

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Mouthrover Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jessica Lynn Manske, D.D.S.

  • Pediatric Dentistry
  • Los Angeles, CA
  • NPI 1083926323
  NPD Authorized official

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

{
    "created_epoch": "1427155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722556800000",
    "number": "1801280383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1355 N SIERRA BONITA AVE APT 302",
            "city": "WEST HOLLYWOOD",
            "state": "CA",
            "postal_code": "900468518",
            "telephone_number": "424-354-9336",
            "fax_number": "424-322-4781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "445 N ALFRED ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900482504",
            "telephone_number": "424-354-9336",
            "fax_number": "424-322-4781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANSKE DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-24",
        "last_updated": "2024-08-02",
        "certification_date": "2024-08-02",
        "status": "A",
        "authorized_official_last_name": "MANSKE",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "424-354-9336",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "59357",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1083926323",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mouthrover",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Megan Mansfield, PSYD
• Patrick Mansfield, DAOM, LAC
• Danielle Manshadi, M.D.
• Keya Manshadi, MD
• Jocelyne Elisa Mansilla, PA
• Jessica Lynn Manske, D.D.S.
• Karen Mansky
• Mona Mansoori, CRNA
• Enease Mansoorian
• Paria Mansoory Deilamy

• Dental Clinic/Center in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Dental Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2024; 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.