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THERON ANGUS MANSON I DDS
NPI 1073683074
Dentist in Kirkland, WA

Active since November 08, 2006PECOS Enrolled
9750 NE 120TH PL #8, KIRKLAND, WA 98034(425) 823-1909(425) 823-8969 Get Directions Write a Review

NPPES record last updated: October 9, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Theron Angus Manson I Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

THERON ANGUS MANSON I DDS (NPI 1073683074) is an individual dentist in Kirkland, Washington, licensed in Washington (9434) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1073683074
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameTHERON ANGUS MANSON ICredential: DDS
Location Address9750 NE 120TH PL #8Kirkland, WA 98034-4207
Mailing Address9750 Ne 120th Pl #8Kirkland, WA 98034-4207 · (425) 823-1909 · Fax (425) 823-8969
Phone(425) 823-1909
Fax(425) 823-8969
Sole ProprietorNo
Enumeration DateNovember 8, 2006
Last NPPES UpdateOctober 9, 2012
✔ NPI 1073683074 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in WA · 9434
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
Also ListedDentist · General PracticeTaxonomy 1223G0001X · License DE00009434 (WA)

Other Identifiers 1

Medicaid5047998WA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Humana, Premera Blue Cross Blue Shield of Alaska.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Theron Angus Manson I Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98034 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$97.43 typical visit price
range $63.67 – $189.37
Typical copayment $24.35 (range $15.91 – $47.34)
Most-billed visit code 99203
Established Patient
$78.74 typical visit price
range $21.12 – $155.00
Typical copayment $19.68 (range $5.28 – $38.75)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

THERON MANSON DDS PS
Dentist
9750 NE 120TH PL #8
KIRKLAND, WA 98034
King County (425) 823-1909

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Theron Manson's NPI number?

The NPI number for Theron Manson is 1073683074. It was assigned to this individual provider in the NPPES registry on November 8, 2006.

Where is Theron Manson located?

Theron Manson practices at 9750 NE 120th Pl #8, Kirkland, WA 98034. The listed phone number is (425) 823-1909.

What is Theron Manson's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Theron Manson enrolled in Medicare?

Yes. Theron Manson is registered in the Medicare PECOS enrollment system.

What insurance does Theron Manson accept?

Health plans from Humana and Premera Blue Cross Blue Shield of Alaska list Theron Manson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Theron Manson was last updated on October 9, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.