MARY SCHILLING MCMANIS DDS INC NPI 1891085619

NPI Information

NPI: 1891085619
Provider Name: MARY SCHILLING MCMANIS, DDS INC
Classification: Point of Service - 305S00000X
Entity Type: Organization
Address:
1727 DEER RUN DR
BURLINGTON, IA
ZIP 52601
Phone: (319) 752-8142
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MARY SCHILLING MCMANIS, DDS INC is a point of service in Burlington, IA. The provider is this product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost. MARY SCHILLING MCMANIS, DDS INC NPI is 1891085619. The provider is registered as an organization entity type.

The provider's business location address is:

1727 DEER RUN DR
BURLINGTON, IA
ZIP 52601-169
Phone: (319) 752-8142
Fax: (319) 752-4756

The provider's authorized official is Mary Schilling Mcmanis .
The authorized official title is Dentist and has the following contact phone number (319) 752-8142.

The enumeration date for this NPI number is 4/13/2011 and was last updated on 3/21/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	305S00000X	Point of Service		6466	IOWA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	6567880001	MEDICARE NSC
2	1821162371	MEDICAID	IOWA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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