MANZANITA KIDS DENTISTRY & ORTHODONTICS, PLLC
NPI 1104209535
Dentist - Pediatric Dentistry in Austin, TX

Q: What is Manzanita Kids Dentistry & Orthodontics, PLLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

Active since July 02, 2015

11800 DESSAU RD, SUITE 203, AUSTIN, TX 78754(210) 884-5750 Get Directions Write a Review

NPPES record last updated: June 9, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Manzanita Kids Dentistry & Orthodontics, Pllc NPPES

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

MANZANITA KIDS DENTISTRY & ORTHODONTICS, PLLC (NPI 1104209535) is a healthcare organization registered as a pediatric dentistry in Austin, Texas and active in the NPI registry since July 2015. The organization lists Gloria Yanez, Pediatric Dentist, as its authorized official.

NPPES Registry Identity

NPI1104209535

Entity TypeOrganization

Primary Taxonomy1223P0221X

Legal Business NameMANZANITA KIDS DENTISTRY & ORTHODONTICS, PLLC

Location Address11800 DESSAU RD, SUITE 203Austin, TX 78754-2154

Mailing Address11800 Dessau Rd Ste 203Austin, TX 78754-2187 · (512) 490-1212

Phone(210) 884-5750

Organization SubpartNo

Authorized OfficialGloria YanezPediatric Dentist · (210) 884-5750

Enumeration DateJuly 2, 2015

Last NPPES UpdateJune 9, 2025

NPPES CertifiedJune 9, 2025

✔ NPI 1104209535 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers

Taxonomy Code1223P0221X

License✔ Licensed in TX · 21450

Definition

An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

11800 DESSAU RD, Austin, TX 78754

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

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 Manzanita Kids Dentistry & Orthodontics, PLLC's NPI number?

The NPI number for Manzanita Kids Dentistry & Orthodontics, PLLC is 1104209535. It was assigned to this organization in the NPPES registry on July 2, 2015.

Where is Manzanita Kids Dentistry & Orthodontics, PLLC located?

Manzanita Kids Dentistry & Orthodontics, PLLC is located at 11800 Dessau Rd Suite 203, Austin, TX 78754. The listed phone number is (210) 884-5750.

What is Manzanita Kids Dentistry & Orthodontics, PLLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

What insurance does Manzanita Kids Dentistry & Orthodontics, PLLC accept?

Health plans from UnitedHealthcare list Manzanita Kids Dentistry & Orthodontics, PLLC 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 Manzanita Kids Dentistry & Orthodontics, PLLC was last updated on June 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.