Lee Michael Maniscalco, M.D.

Primary specialty

Oral & Maxillofacial Surgery (D.M.D.)Taxonomy code 204E00000X

License

6404 Issued in AL

Practice address

101 Heatherbrooke Park Dr
Birmingham, AL 35242-8008

Phone

(205) 991-9787

NPI assigned

Mar 21, 2011

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Oral Surgery

Education

University of South Alabama College of Medicine, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Maniscalco Oral and Facial Surgery LLC

  dba Gonzalez, Carr, and Maniscalco Oral and Facial Surgery

  • Oral and Maxillofacial Surgery Clinic/Center
  • Birmingham, AL
  • NPI 1376271056
  Medicare reassignment NPD Authorized official
• DRS. Koslin & Kahn, P.C.

  • Oral and Maxillofacial Surgery (Dentist)
  • Clanton, AL
  • NPI 1598462210
  NPD
• Gonzalez & Carr, P.C.

  • Oral and Maxillofacial Surgery (Dentist)
  • Birmingham, AL
  • NPI 1740469311
  NPD (past)
• Interventional Pain Solutions

  • Pain Medicine (Anesthesiology) Physician
  • Birmingham, AL
  • NPI 1346589736
  NPD (past)

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

{
    "created_epoch": "1300665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776643200000",
    "number": "1821397589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 HEATHERBROOKE PARK DR",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352428008",
            "telephone_number": "205-991-9787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 HEATHERBROOKE PARK DR",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352428008",
            "telephone_number": "205-991-9787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANISCALCO",
        "first_name": "LEE",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-03-21",
        "last_updated": "2026-04-20",
        "certification_date": "2026-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "AL",
            "license": "MD.31846",
            "primary": false
        },
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "AL",
            "license": "6404",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lorijean Nichole Maney, CRNP
• Katherine Mange
• Lisa M Mani, M.D.
• Maniscalco Oral and Facial Surgery LLC (Gonzalez, Carr, and Maniscalco Oral and Facial Surgery)
• Chelsea Maniscalco, DMD
• Michael Maniscalco, DMD
• Nathan Ronald Manley
• Beth D. Mann, LPC
• Briana Olivia Mann, RN
• Judith Giles Mann, MSC, CCC-SLP

• Oral & Maxillofacial Surgery (D.M.D.) in Birmingham, AL
• Providers in Birmingham, AL by specialty
• Oral & Maxillofacial Surgery (D.M.D.) in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2026; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.