James Blaine Manker, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

13773 Issued in TX

Practice address

805 N Dickinson Drive
Rusk, TX 75785-0000

Phone

(903) 683-3421

Fax

(903) 683-7199

NPI assigned

May 9, 2011

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 TX

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

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

{
    "created_epoch": "1304899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1962794008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "805 N DICKINSON DRIVE",
            "city": "RUSK",
            "state": "TX",
            "postal_code": "757850000",
            "telephone_number": "903-683-3421",
            "fax_number": "903-683-7199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 N DICKINSON DRIVE",
            "city": "RUSK",
            "state": "TX",
            "postal_code": "757850000",
            "telephone_number": "903-683-3421",
            "fax_number": "903-683-7199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANKER",
        "first_name": "JAMES",
        "middle_name": "BLAINE",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-05-09",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "13773",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF TEXAS LICENSED",
            "identifier": "13773",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dana Diane Long, PMHNP-BC
• Shawnee Lucas
• Mark C Mahand
• Lauren Nicole Main, RN, PMHNP-BC
• Mary Manis, M.S. M.D.
• Natisha Lee Martin, BSN, RN
• Qantasia S Matthews
• Mdmac Logistics PLLC
• Belinda Meharry, APRN, PMHNP-BC
• Tina M Mergerson, LMSW

• General Practice Dentistry in Rusk, TX
• Providers in Rusk, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.