Dallas McManamon, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DE61150657 Issued in WA

Practice address

6615 W Argent Rd
Pasco, WA 99301-1905

Phone

(509) 547-9951

NPI assigned

May 19, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

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.

• Hansen Family Dental PLLC

  • General Practice Dentistry
  • Pasco, WA
  • NPI 1114045937
  Medicare reassignment NPD

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

{
    "created_epoch": "1621382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621382400000",
    "number": "1902470347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6615 W ARGENT RD",
            "city": "PASCO",
            "state": "WA",
            "postal_code": "993011905",
            "telephone_number": "509-547-9951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6615 W ARGENT RD",
            "city": "PASCO",
            "state": "WA",
            "postal_code": "993011905",
            "telephone_number": "509-547-9951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCMANAMON",
        "first_name": "DALLAS",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-05-19",
        "last_updated": "2021-05-19",
        "certification_date": "2021-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE61150657",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dianne Marie McDonald, RN
• Gesamae Jocsing McElvain, NP
• Audrey Anna McGary, RD, CD
• Charles William McKeown, MD
• James McLean
• Ashlea Kirstin McManus, MD
• Kate McVey, MMP,CMT,CES
• Alma Luz Medina
• Sarah Louise Meehan, LMT
• Chelsea Marlene Mellett, ARNP

• General Practice Dentistry in Pasco, WA
• Providers in Pasco, WA by specialty
• General Practice Dentistry in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2021; 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.