Organization Active NPI

Manor Dental Associates

  • General Practice Dentistry
  • Manor, TX
National Provider Identifier
1942460092
Registry record updated Jun 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
32729 Issued in TX
Legal business name
MANOR DENTAL ASSOCIATES
Practice address
14001 Shadow Glen Blvd
Manor, TX 78653-3376
Phone
(512) 278-8700
NPI assigned
Jun 12, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2008

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

Authorized official

Name
Dr. Adriana Olga Lapeyra-Gutierrez, DDSNPI 1073607180
Title
Owner/Dentist
Phone
(512) 278-8700

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 32729 TX Primary

Addresses

Primary practice location

14001 Shadow Glen Blvd
Manor, TX 78653-3376

Mailing address

14001 Shadow Glen Blvd
Manor, TX 78653-3376
Phone (512) 278-8700

National Provider Directory

National Provider Directory

Locations

14001 Shadowglen Blvd
Manor, TX 78653
Phone (512) 278-8700

Practitioners & affiliated clinicians

Practitioners 3

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": "1213228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213228800000",
    "number": "1942460092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14001 SHADOW GLEN BLVD",
            "city": "MANOR",
            "state": "TX",
            "postal_code": "786533376",
            "telephone_number": "512-278-8700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14001 SHADOW GLEN BLVD",
            "city": "MANOR",
            "state": "TX",
            "postal_code": "786533376",
            "telephone_number": "512-278-8700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANOR DENTAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-12",
        "last_updated": "2008-06-12",
        "status": "A",
        "authorized_official_last_name": "LAPEYRA-GUTIERREZ",
        "authorized_official_first_name": "ADRIANA",
        "authorized_official_middle_name": "OLGA",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "512-278-8700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "32729",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manor, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2008; 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.