Organization Active NPI

Thomas C. Mannino DDS, PC

  • General Practice Dentistry
  • Farmington Hills, MI
National Provider Identifier
1942969068
Registry record updated Dec 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
THOMAS C. MANNINO DDS, PC
Practice address
27600 Farmington Rd Ste 101
Farmington Hills, MI 48334-3364
Phone
(248) 219-2584
NPI assigned
Dec 16, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2021

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

Authorized official

Name
Annita Mannino
Title
Office Manager
Phone
(248) 219-2584

Specialties & licenses 1

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

Addresses

Primary practice location

27600 Farmington Rd Ste 101
Farmington Hills, MI 48334-3364

Mailing address

27600 Farmington Rd Ste 101
Farmington Hills, MI 48334-3364
Phone (248) 219-2584

National Provider Directory

National Provider Directory

Locations

27600 Farmington Rd
Ste 101
Farmington Hills, MI 48334
Phone (248) 219-2584

NPI Registry JSON

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

{
    "created_epoch": "1639612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1639612800000",
    "number": "1942969068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27600 FARMINGTON RD STE 101",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483343364",
            "telephone_number": "248-219-2584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27600 FARMINGTON RD STE 101",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483343364",
            "telephone_number": "248-219-2584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS C. MANNINO DDS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-16",
        "last_updated": "2021-12-16",
        "certification_date": "2021-12-16",
        "status": "A",
        "authorized_official_last_name": "MANNINO",
        "authorized_official_first_name": "ANNITA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "248-219-2584"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington Hills, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2021; 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.