Mary Schilling McManis, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

6466 Issued in IA

Practice address

1727 Deer Run Dr
Burlington, IA 52601

Phone

(319) 752-8142

Fax

(319) 752-4756

NPI assigned

Nov 17, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IA

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

Medicare enrollment (NPD)

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.

• Mary Schilling McManis, DDS Inc

  • Point of Service
  • Burlington, IA
  • NPI 1891085619
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1821162371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1727 DEER RUN DR",
            "city": "BURLINGTON",
            "state": "IA",
            "postal_code": "526012169",
            "telephone_number": "319-752-8142",
            "fax_number": "319-752-4756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1727 DEER RUN DR",
            "city": "BURLINGTON",
            "state": "IA",
            "postal_code": "52601",
            "telephone_number": "319-752-8142",
            "fax_number": "319-752-4756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCMANIS",
        "first_name": "MARY",
        "middle_name": "SCHILLING",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-17",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IA",
            "license": "6466",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0160663",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Linda May
• Heather B McAtee, LISW
• Jessica Lee McCreight, BCBA
• Shea Dalton McCuen, T-LMHC
• Theresa McKoon
• Gloria Gene McMillan, PMHNP-BC
• Danielle Renee McMillen, PHARMD
• Justin James Meeks, O.D.
• Frank Micucci, MPA-C
• Miller Chiropractic Clinic PC

• General Practice Dentistry in Burlington, IA
• Providers in Burlington, IA by specialty
• General Practice Dentistry in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.