John E. Manne, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

28270 Issued in NY

Practice address

3 Main St
Tupper Lake, NY 12986

Phone

(518) 359-7353

NPI assigned

Jul 31, 2006

Last updated

Jun 14, 2018By the provider in NPPES

Sex

Male

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528934400000",
    "number": "1891701090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 MAIN ST",
            "city": "TUPPER LAKE",
            "state": "NY",
            "postal_code": "129861308",
            "telephone_number": "518-359-7353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 MAIN ST",
            "city": "TUPPER LAKE",
            "state": "NY",
            "postal_code": "12986",
            "telephone_number": "518-359-7353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANNE",
        "first_name": "JOHN",
        "middle_name": "E.",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-31",
        "last_updated": "2018-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "28270",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01430313",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Katherine L Lavery, MA/CAS
• Jocelyn Marie Law, LMT
• Babette Michelle Leblanc
• Abigail C Lynch, PT
• Stella Mallon
• Sylvia Rose Mattice, M.A., CCC-SLP
• Klaus Eric Meissner, LCSWR CASAC
• Lisa Meissner, LCSWR
• Carol Jane Merrihew, LCSW-R
• Arthur V Morey, MD

• General Practice Dentistry in Tupper Lake, NY
• Providers in Tupper Lake, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2018; 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.