Kristina Marie Mankins, RDHAP

Primary specialty

Advanced Practice Dental TherapistTaxonomy code 125K00000X

License

821 Issued in CA

Practice address

6708 N Durant Ave
Fresno, CA 93711-1360

Phone

(805) 441-5499

NPI assigned

Apr 21, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1587427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667779200000",
    "number": "1992325799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 402",
            "city": "PASO ROBLES",
            "state": "CA",
            "postal_code": "934470402",
            "telephone_number": "805-441-5499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6708 N DURANT AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937111360",
            "telephone_number": "805-441-5499"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2120 Golden Hill Rd Ste 103",
            "address_purpose": "LOCATION",
            "city": "Paso Robles",
            "state": "CA",
            "postal_code": "934467048",
            "country_code": "US",
            "telephone_number": "805-238-6777",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MANKINS",
        "first_name": "KRISTINA",
        "middle_name": "MARIE",
        "credential": "RDHAP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-04-21",
        "last_updated": "2022-11-07",
        "certification_date": "2022-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dental Hygienist",
            "state": "CA",
            "license": "26249",
            "primary": false
        },
        {
            "code": "124Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dental Hygienist",
            "state": "CA",
            "license": "821",
            "primary": false
        },
        {
            "code": "125K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Advanced Practice Dental Therapist",
            "state": "CA",
            "license": "821",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dawn Manion, LCSW
• Gracielle Grospe Manipon, PHARM.D.
• Sukhbir Manjal, MD
• Jose Eduardo Manjarrez Sr., BSW, SUDCC
• Fnu Manjot Kaur
• Aidan Alexander Manley
• Mann Assessments & Psychotherapy Inc
• Mann Asset Holdings Inc
• Mann Heritage Inc
• Apneet Kaur Mann, FNP-C

• Advanced Practice Dental Therapist in Fresno, CA
• Providers in Fresno, CA by specialty
• Advanced Practice Dental Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2022; 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.