Organization Active NPI

Dennis E. Manning D.D.S.,LTD.

  • General Practice Dentistry
  • Libertyville, IL
National Provider Identifier
1881604650
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
DENNIS E. MANNING D.D.S.,LTD.
Practice address
1900 Hollister Dr Ste 300
Libertyville, IL 60048-5247
Phone
(847) 968-6000
Fax
(847) 968-5404
NPI assigned
Aug 8, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Dennis Edward Manning, D.D.S.NPI 1962412700
Title
President
Phone
(847) 968-6000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

1900 Hollister Dr Ste 300
Libertyville, IL 60048-5247

Mailing address

1900 Hollister Dr Ste 300
Libertyville, IL 60048-5247
Phone (847) 968-6000

Other identifiers 1

IdentifierTypeStateIssuer
1002819MedicaidIL

National Provider Directory

National Provider Directory

Locations

1900 Hollister Dr
Ste 300
Libertyville, IL 60048
Phone (847) 968-6000

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1881604650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 HOLLISTER DR STE 300",
            "city": "LIBERTYVILLE",
            "state": "IL",
            "postal_code": "600485247",
            "telephone_number": "847-968-6000",
            "fax_number": "847-968-5404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 HOLLISTER DR STE 300",
            "city": "LIBERTYVILLE",
            "state": "IL",
            "postal_code": "600485247",
            "telephone_number": "847-968-6000",
            "fax_number": "847-968-5404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENNIS E. MANNING D.D.S.,LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MANNING",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-968-6000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1002819",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Libertyville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.