MANOR PEDIATRIC DENTAL ASSOCIATES PA (NPI# 1316207897) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316207897 |
| Entity Type | Organization |
| Organization Name | MANOR PEDIATRIC DENTAL ASSOCIATES PA |
| Other Organization Name | MANOR KIDS DENTISTRY |
| Practice Address |
13419 Us Highway 290 E Bldg 9 Manor TX 78653-4589 |
| Mailing Address |
8900 Lone Tree Dr Manor TX 78653-4843 |
| Practice Telephone | 5124179101 |
| Mailing Telephone | 5124179101 |
| Enumeration Date | 2012-05-18 |
| Last Update Date | 2012-05-18 |
| Authorized Official Name | DR. DON HARTSFIELD (PRESIDENT) |
| Authorized Official Telephone | 5124179101 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers | ||
| N | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
Dental Providers | ||
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
Dental Providers |
| Other Name | Type Code |
|---|---|
| Manor Kids Dentistry | Doing Business As Name - Organization |
| Street Address |
13419 US HIGHWAY 290 E BLDG 9 |
| City | MANOR |
| State | TX |
| Zip Code | 78653-4589 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427233659 | Gswizz Ladies Workout Express | Health Maintenance Organization | 13419 Us Highway 290 E, Bldg # 7, Manor, TX 78653-4589 | 2008-01-07 |
| 1275890865 | Manor Orthodontic Associates, P.a. | Dentist | 13419 Us Highway 290 E, Building #9, Manor, TX 78653-4589 | 2012-04-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588293112 | Angelica Marie Griffin | Residential Treatment Facility, Emotionally Disturbed Children | 12500 Shadowglen Trace 3204, Manor, TX 78653 | 2020-04-06 |
| 1215591391 | Manor Total Dental and Orthodontics Pllc | Durable Medical Equipment & Medical Supplies | 11828 Ring Dr. Ste 102, Manor, TX 78653 | 2019-04-24 |
| 1932698412 | New Hope Ranch | Substance Abuse Rehabilitation Facility | 11908 Sparks Road, Manor, TX 78653 | 2018-05-09 |
| 1649788332 | Adam Tyler Barnes, Dds of Texas II, Pllc | Dentist | 12700 Lexington Street, Suite 220, Manor, TX 78653 | 2018-01-16 |
| 1760998934 | Open Hearts & Open Doors Group Home Services, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 11605 Mill Ridge Trce, Manor, TX 78653 | 2017-12-22 |
| 1184089443 | Manor Family Orthodontics, Pllc | Dentist | 11828 Ring Dr, Ste 102, Manor, TX 78653 | 2015-12-30 |
| 1225424542 | Rsvp Healthcare Alliance, LLC | Pharmacy | 14008 Shadow Glen Blvd, Ste 102, Manor, TX 78653 | 2015-04-14 |
| 1023410560 | Demitra Stephens Haynes | In Home Supportive Care | 18116 Flathead Dr, Manor, TX 78653 | 2014-09-16 |
| 1922429836 | Wal-mart Stores Texas LLC | Technician/Technologist | 11923 Us Hwy 290 E, Manor, TX 78653 | 2013-12-18 |
| 1710326434 | Lizania Montero | Dentist | 11300 Hwy 290 E, Suite 200, Manor, TX 78653 | 2013-06-15 |
| Find all providers in zip 78653 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710326434 | Lizania Montero | Dentist | 11300 Hwy 290 E, Suite 200, Manor, TX 78653 | 2013-06-15 |
| 1588010839 | Lls Pllc | Dentist | 11300 Hwy 290 E, Bldg 2, Suite 200, Manor, TX 78653 | 2016-05-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326647454 | Memorial Dentistry for Kids Pllc | Dentist | 14090 Memorial Dr, Houston, TX 77079-6848 | 2020-10-20 |
| 1497362651 | Munal Dental Pllc | Dentist | 2921 N Fm 1417 Ste 100, Sherman, TX 75092-3559 | 2020-09-30 |
| 1467069880 | Unique Kids Pediatric Dentistry, Pllc | Dentist | 22118 Market Place Dr Ste 500, New Caney, TX 77357-2165 | 2020-09-29 |
| 1104438092 | Sarah Al Kukash | Dentist | 2536 Amherst St Ste A, Houston, TX 77005-3207 | 2020-08-20 |
| 1295344679 | Bulverde Dental Specialist Pllc | Dentist | 22103 Bulverde Rd Ste 108, San Antonio, TX 78259-1855 | 2020-07-30 |
| 1174132559 | Previcare, Pllc | Dentist | 2006 W Campbell Rd Ste 300, Garland, TX 75044-2315 | 2020-07-30 |
| 1386252088 | Saba Saleem Tareen | Dentist | 1503 Royal Ln, Colleyville, TX 76034-5585 | 2020-07-19 |
| 1306454178 | Susan Roberts Pediatric Dentistry Pllc | Dentist | 5411 Basswood Blvd Ste 201, Fort Worth, TX 76137-4479 | 2020-07-17 |
| 1316564990 | Ikids Pediatric Dentistry Lakewood, Pllc | Dentist | 2011 Abrams Parkway, Dallas, TX 75214 | 2020-06-30 |
| 1316563497 | Woodlands Pediatric Dentistry PC | Dentist | 4850 W Panther Creek Dr Ste 102, The Woodlands, TX 77381-3595 | 2020-06-24 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.