DR. KRYSTA ELIZABETH MANNING (NPI# 1821302373) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821302373 |
| Entity Type | Individual |
| Full Name | DR. KRYSTA ELIZABETH MANNING |
| Credential | DMD |
| Practice Address |
110 W Ent Ave Attn: 21 Ds/sgdd - Dental Clinic Colorado Springs CO 80914-1595 |
| Practice Telephone | 7195562273 |
| Practice Fax Number | 8668677926 |
| Mailing Telephone | 7195561333 |
| Mailing Fax Number | 7195561331 |
| Enumeration Date | 2010-07-27 |
| Last Update Date | 2011-11-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
8954 | KY | Dental Providers |
| Street Address |
110 W ENT AVE ATTN: 21 DS/SGDD - DENTAL CLINIC |
| City | COLORADO SPRINGS |
| State | CO |
| Zip Code | 80914-1595 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093013732 | Christine Joyce Cox | Dietitian, Registered | 110 W Ent Ave, Attn: 21 Mdss/sgsd - Pharmacy, Colorado Springs, CO 80914-1595 | 2011-03-04 |
| 1447579412 | Jared Daniel Mason | Dentist | 110 W Ent Ave, Attn: 21 Ds/sgdo Dental Clinic, Colorado Springs, CO 80914-1595 | 2010-05-28 |
| 1639141864 | Victor Gregor | Dentist | 110 W Ent Ave, 21st Dental Squadron, Colorado Springs, CO 80914-1595 | 2006-02-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356897250 | Kym Littlefield Whitaker | Nurse Practitioner | 110 Ent Avenue, Peterson Afb, CA 80914 | 2016-08-30 |
| 1114322583 | Jessica Charmaine Johnson | Social Worker | 559 Vincent St, Bldg 959, Attn: 21 Omrs/sgow, Peterson Afb, CO 80914 | 2014-10-28 |
| 1306916267 | John Frank Drozd | Psychologist | 21st Medical Group, 559 Vincent Street, Peterson Afb, CO 80914 | 2006-11-08 |
| 1801858865 | Moshe Mark Douglas Wexler | Clinical Neuropsychologist | 110 W. Ent Ave. Bldg 725, 21 Mdos/sgoh, Pafb, CO 80914 | 2006-04-05 |
| 1215902002 | William J Dickson | Dentist | Peterson Afb, Bld 950, Colorado Springs, CO 80914 | 2006-02-23 |
| 1740889773 | Brandon Dean Estes | Dental Hygienist | 1055 Stewart Ave, Bldg 2018, Apo, AA 80914 | 2020-10-21 |
| 1811378607 | Justin Henry Noble | Family Medicine | 559 Vincent St, Colorado Springs, CO 80914 | 2015-06-17 |
| 1225458789 | Brianna Mcmurray | Family Medicine | 559 Vincent St Bldg 959, Colorado Springs, CO 80914 | 2014-04-23 |
| 1720406796 | Beth D Achterhoff | Physical Therapist | 559 Vincent St Bldg 959, Peterson Afb, CO 80914 | 2014-04-07 |
| 1225310162 | Zachary Edward Bishop | Pharmacist | 559 Vincent St, Attn: 21 Mdss/sgsap, Peterson Afb, CO 80914 | 2011-09-16 |
| Find all providers in zip 80914 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295342640 | Union Blvd Dental Pllc | Dentist | 3920 N Union Blvd Ste 380, Colorado Springs, CO 80907-4922 | 2020-09-29 |
| 1548877608 | Elbert Dental Pllc | Dentist | 6140 Tutt Blvd Ste 140, Colorado Springs, CO 80923-3574 | 2020-09-23 |
| 1063035863 | Elbert Dental Pllc | Dentist | 6240 Woodmen Park Vw, Colorado Springs, CO 80923-2616 | 2020-05-27 |
| 1932735750 | Center Point Dental Pllc | Dentist | 5410 Powers Center Pt Ste 200, Colorado Springs, CO 80920-7148 | 2020-03-13 |
| 1881228245 | Powers Dental Specialists LLC | Dentist | 5740 N Carefree Cir Ste 150, Colorado Springs, CO 80917-2787 | 2020-02-25 |
| 1174167217 | Elbert Dental Pllc | Dentist | 6665 Delmonico Dr Ste C, Colorado Springs, CO 80919-1895 | 2019-11-01 |
| 1962059931 | Colorado Dental Professionals, LLC | Dentist | 655 Southpointe Ct Ste 150, Colorado Springs, CO 80906-3859 | 2019-08-23 |
| 1750875019 | Steven George | Dentist | 5925 Lehman Dr Ste 2, Colorado Springs, CO 80918-3418 | 2018-06-20 |
| 1962995068 | Trenton Jeffery Platt | Dentist | 2465 Research Pkwy Ste 100, Colorado Springs, CO 80920-1089 | 2018-06-13 |
| 1710477732 | Dental Health Professionals of Colorado | Dentist | 830 Tenderfoot Hill Rd Ste 210, Colorado Springs, CO 80906-7372 | 2018-05-15 |
| Find all providers in COLORADO SPRINGS | ||||
| City | COLORADO SPRINGS |
| Zip Code | 80914 |
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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.