Manzanita Kids Dentistry & Orthodontics, PLLC
NPI 1104209535ActiveOrganization· Dentist, Pediatric Dentistry· Austin, TX
Dentist, Pediatric Dentistry in Austin, Texas, registered in NPPES in July 2015. The authorized official on file is Gloria Yanez, D.D.S., M.S., Pediatric Dentist.
Overview
| NPI | 1104209535 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 2, 2015 |
| Last updated in NPPES | Jun 9, 2025 |
| Certified by provider | Jun 9, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, Pediatric Dentistry Primary | 1223P0221X | 21450 | TX |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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