Individual provider Active NPI

William Patrick Mannion Jr., D.D.S.

  • General Practice Dentistry
  • Ukiah, CA
National Provider Identifier
1972572162
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
40850 Issued in CA
Practice address
1091 S Dora St
Ukiah, CA 95482-5736
Phone
(707) 462-1540
Fax
(707) 462-7601
NPI assigned
Mar 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 40850 CA Primary

Addresses

Primary practice location

1091 S Dora St
Ukiah, CA 95482-5736

Mailing address

1414 Christopher CT
Ukiah, CA 95482-3674
Phone (707) 462-1914

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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

Enrollment IDStateProvider typePAC IDDetails
I20150526001635 CA Order and Referring Only - DentistPractitioner - Dentist 9739409178

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
40850CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
William Vainer Inc. General Practice PastSince Sep 4, 2022 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1142553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1972572162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1414 CHRISTOPHER CT",
            "city": "UKIAH",
            "state": "CA",
            "postal_code": "954823674",
            "telephone_number": "707-462-1914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1091 S DORA ST",
            "city": "UKIAH",
            "state": "CA",
            "postal_code": "954825736",
            "telephone_number": "707-462-1540",
            "fax_number": "707-462-7601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANNION",
        "first_name": "WILLIAM",
        "middle_name": "PATRICK",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-17",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "40850",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ukiah, CA

Sources for this page

Verify at the official NPI Registry.