Individual provider Active NPI

Barbara Alexiou-Manofsky, D.D.S

  • General Practice Dentistry
  • Stow, OH
National Provider Identifier
1972867547
Registry record updated Mar 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
30-023710 Issued in OH
Practice address
3653 Darrow Rd
Suite #2
Stow, OH 44224-4012
Phone
(330) 688-0067
NPI assigned
Jun 28, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 19, 2024

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 30-023710 OH Primary

Addresses

Primary practice location

3653 Darrow Rd
Suite #2
Stow, OH 44224-4012

Mailing address

3653 Darrow Rd
Suite #2
Stow, OH 44224-4012
Phone (330) 688-0067

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
30-023710OHMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1340841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710806400000",
    "number": "1972867547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3653 DARROW RD",
            "address_2": "SUITE #2",
            "city": "STOW",
            "state": "OH",
            "postal_code": "442244012",
            "telephone_number": "330-688-0067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3653 DARROW RD",
            "address_2": "SUITE #2",
            "city": "STOW",
            "state": "OH",
            "postal_code": "442244012",
            "telephone_number": "330-688-0067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALEXIOU-MANOFSKY",
        "first_name": "BARBARA",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-06-28",
        "last_updated": "2024-03-19",
        "certification_date": "2024-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "30-023710",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stow, OH

Sources for this page

Verify at the official NPI Registry.