Raymond Manniello, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D18081 Issued in MA

Practice address

264 N Main St Ste 4
East Longmeadow, MA 01028-1815

Phone

(413) 525-0861

NPI assigned

Mar 27, 2007

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Raymond D.Manniello,D.D.S.,P.C.

  • General Practice Dentistry
  • East Longmeadow, MA
  • NPI 1023234150
  NPD (past) Authorized official

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1992824650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 SUNRISE CIR",
            "city": "SOUTH HADLEY",
            "state": "MA",
            "postal_code": "010751382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "264 N MAIN ST STE 4",
            "city": "EAST LONGMEADOW",
            "state": "MA",
            "postal_code": "010281815",
            "telephone_number": "413-525-0861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANNIELLO",
        "first_name": "RAYMOND",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "D18081",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deaven Nicole Macias, DO
• Kim McGillicuddy Maciaszek, OD
• Marianne Maher, RD LDN
• John Michael Makowicz
• Thenu Manikantan, M.D.
• Nichole Manning
• Maple Dental Associates
• Ursa Marder
• Alissa Mariano, DMD, FACP
• Carolyn Mars

• General Practice Dentistry in East Longmeadow, MA
• Providers in East Longmeadow, MA by specialty
• General Practice Dentistry in Massachusetts

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.