Dennis Edward Manning, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Practice address

1900 Hollister Dr Ste 300
Libertyville, IL 60048-5247

Phone

(847) 968-6000

Fax

(847) 968-5404

NPI assigned

Aug 8, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IL

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

Practice roles

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.

• Dennis E. Manning D.D.S.,LTD.

  • General Practice Dentistry
  • Libertyville, IL
  • NPI 1881604650
  NPD (past) Authorized official

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

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1962412700",
    "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"
        },
        {
            "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": {
        "last_name": "MANNING",
        "first_name": "DENNIS",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1002819",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Theresa Rose Malvar, PHARMD
• Esther Manes, DPT
• Mia Mangialardi
• Nina Socorro E. Maniquis, M.D.
• Vina Maria Estipona Maniquis, MD
• Manor Care of Libertyville Il, LLC
• Louis J Manquen Jr., MD
• Carolina Manrriquez, MSW, LSW
• Paula Mansfield
• Ashley Marcos

• General Practice Dentistry in Libertyville, IL
• Providers in Libertyville, IL by specialty
• General Practice Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.