DR. SILVANA LUCIA GONZALEZ MANZUR (NPI# 1851554117) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1851554117 |
Entity Type | Individual |
Full Name | DR. SILVANA LUCIA GONZALEZ MANZUR |
Credential | DDS, MS |
Practice Address |
4301 W William Cannon Dr Building E, Suite 300 Austin TX 78749-1473 |
Practice Telephone | 5122152520 |
Mailing Telephone | 5122152520 |
Enumeration Date | 2008-07-08 |
Last Update Date | 2015-09-18 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 1223X0008X |
Dentist Specialization: Oral and Maxillofacial Radiology |
23810 | TX | Dental Providers |
Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
23810 | TX | Dental Providers |
Street Address |
4301 W WILLIAM CANNON DR BUILDING E, SUITE 300 |
City | AUSTIN |
State | TX |
Zip Code | 78749-1473 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447215017 | Elizabeth Collin Mcclune | Optometrist | 4301 W William Cannon Dr, Suite B210, Austin, TX 78749 | 2006-04-18 |
1740897958 | Stefanie Taing | Optometrist | 4301 W William Cannon Dr, Austin, TX 78749-1473 | 2020-09-30 |
1831744515 | Yesha Kamlesh Patel | Optometrist | 4301 W William Cannon Dr, Austin, TX 78749-1473 | 2019-08-08 |
1740700244 | Cinco Ninos, LLC | Counselor | 4301 W William Cannon Dr, Austin, TX 78749-1473 | 2017-06-26 |
1649716531 | Travis County Neuromonitoring, Pllc | Electrodiagnostic Medicine | 4301 W William Cannon Dr, Suite B-150 #262, Austin, TX 78749-1473 | 2017-01-16 |
1821530635 | Duchess Dental Pllc | Dentist | 4301 W William Cannon Dr, Suite B240, Austin, TX 78749-1473 | 2016-11-09 |
1427433770 | Michelle Marie Thompson | Behavioral Analyst | 4301 W William Cannon Dr, B-150, Austin, TX 78749-1473 | 2015-07-28 |
1992199269 | Costco Wholesale Corporation | Hearing Aid Equipment | 4301 W William Cannon Dr, Austin, TX 78749-1473 | 2015-03-25 |
1225429921 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 4301 W William Cannon Dr, Austin, TX 78749-1473 | 2015-02-17 |
1104235134 | Priyal Desai | Optometrist | 4301 W William Cannon Dr, Ste B210, Austin, TX 78749-1473 | 2014-08-04 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144863812 | Atx Sleep Center of Austin | Clinic/Center | 5920 W William Cannon Dr Bldg 6 Ste 110, Austin, TX 78749 | 2019-10-24 |
1194366740 | Monica Leann Woodworth | Behavioral Analyst | 5700 S Mopac Expy, C310, Austin, TX 78749 | 2019-10-04 |
1346894045 | Brianna Gonzalez | Behavioral Analyst | 5700 S Mopac Expy C310, Austin, TX 78749 | 2019-07-31 |
1811549603 | Austin Michael Arzaga | Pharmacist | 6600 Mopac Expressway South, Austin, TX 78749 | 2019-07-11 |
1922565092 | Ashley Harmon | Social Worker | 5417 S Mopac Expy, 418, Austin, TX 78749 | 2019-02-26 |
1316391139 | National Vision, Inc. | Technician/Technologist | 5300 S Mopac Expw, Ste 102 & 102c, Austin, TX 78749 | 2016-04-18 |
1972976322 | P&h Services, LLC | Durable Medical Equipment & Medical Supplies | 5920 W. William Cannon Dr., Bldg 6, Ste. 225, Austin, TX 78749 | 2015-11-06 |
1023495207 | Oncall Emergency Center Circle C LLC | Clinic/Center | 5701 W. Slaughter Lane, Blg G Ste 101, Austin, TX 78749 | 2015-04-27 |
1447685953 | Sally Vanessa Moser | Dentist | 3601 W. William Cannon Dr, Bldg 4, Ste 500, Austin, TX 78749 | 2013-09-04 |
1386987576 | Qiwei Paulson | Internal Medicine | 7504 Orrick Dr, Austin, TX 78749 | 2013-04-05 |
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Taxonomy Code | 1223X0400X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | Orthodontics and Dentofacial Orthopedics |
That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255999884 | Catalina Zambrano Martinez | Dentist | 505 W Louis Henna Blvd Ste 110, Austin, TX 78728-1702 | 2019-05-29 |
1588120216 | Candid Texas P.a. | Dentist | 500 N Lamar Blvd, Austin, TX 78703-5264 | 2019-02-19 |
1396211082 | Mathue Ortho Pllc | Dentist | 6012 W William Cannon Dr Ste D103, Austin, TX 78749-1979 | 2018-10-19 |
1477049690 | Parmer Lane Orthodontics PC | Dentist | 2121 W Parmer Ln Ste 111, Austin, TX 78727-4360 | 2018-07-11 |
1891289179 | Corey Steven Romero | Dentist | 8716 Research Blvd Ste 125, Austin, TX 78758-6598 | 2018-06-19 |
1114426640 | Jaladhi Patel | Dentist | 7517 Cameron Rd Ste 106, Austin, TX 78752-2055 | 2018-02-11 |
1851815997 | Vincent Vivinetto Napoli | Dentist | 2525 W Anderson Ln # 399, Austin, TX 78757-1180 | 2017-07-31 |
1104364710 | Lspd At Circle C, Pllc | Dentist | 5900 W Slaughter Ln Ste 470, Austin, TX 78749-6513 | 2017-02-02 |
1316493844 | Laguna Dental and Orthodontics, Pllc | Dentist | 214 Barton Springs Rd, #1417, Austin, TX 78704-1281 | 2016-08-25 |
1215481346 | Brian St. Louis | Dentist | 3413 W Slaughter Ln, Austin, TX 78748-5711 | 2016-08-05 |
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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.