DR. MARC MANANGAN SERRA DDS, FACS
NPI 1316957442
Dentist - Oral and Maxillofacial Surgery in Tacoma, WA

Active since August 09, 2006Opted out of Medicare · through Apr 15, 2028
MADIGAN ARMY MEDICAL CENTER 9040 JACKSON AVE, TACOMA, WA 98431(253) 968-0178 Get Directions Write a Review

NPPES record last updated: April 5, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 5, 2023, Apr 23, 2021, Jul 10, 2019 (3 updates tracked since 2019).

About Dr. Marc Manangan Serra Dds, Facs NPPES

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

DR. MARC MANANGAN SERRA DDS, FACS (NPI 1316957442) is an individual oral and maxillofacial surgery provider in Tacoma, Washington, licensed in Washington (DE 60272622) and active in the NPI registry since August 2006. He has opted out of Medicare through April 15, 2028.

NPPES Registry Identity

NPI1316957442
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameDR. MARC MANANGAN SERRACredential: DDS, FACS
Location AddressMADIGAN ARMY MEDICAL CENTER 9040 JACKSON AVETacoma, WA 98431-0001
Mailing Address3010 Narrows PlTacoma, WA 98407-1058
Sole ProprietorNo
Enumeration DateAugust 9, 2006
Last NPPES UpdateApril 5, 20233 updates tracked since enumeration
NPPES CertifiedApril 5, 2023
NPI 1316957442 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License Licensed in WA · DE 60272622
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
Also ListedMilitary Health Care ProviderTaxonomy 171000000X
MADIGAN ARMY MEDICAL CENTER 9040 JACKSON AVE, Tacoma, WA 98431

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Dr. Marc Manangan Serra Dds, Facs has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 15, 2022 through April 15, 2028.

Opt-Out Effective DateApril 15, 2022
Opt-Out In Effect ThroughApril 15, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 20

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

Social Worker (Clinical)
MADIGAN ARMY MEDICAL CENTER 9040 JACKSON AVE
TACOMA, WA 98431
Psychologist (Clinical)
MADIGAN ARMY MEDICAL CENTER 9040 JACKSON AVE
TACOMA, WA 98431
Counselor (Mental Health)
MADIGAN ARMY MEDICAL CENTER 9040 JACKSON AVE
TACOMA, WA 98431
Registered Nurse (Case Management)
MADIGAN ARMY MEDICAL CENTER 9040 JACKSON AVE
TACOMA, WA 98431
Military Health Care Provider
MADIGAN ARMY MEDICAL CENTER 9040 JACKSON AVE
TACOMA, WA 98431
Physician Assistant (Medical)
MADIGAN ARMY MEDICAL CENTER 9040 JACKSON AVE
TACOMA, WA 98431
General Practice
MADIGAN ARMY MEDICAL CENTER 9040 JACKSON AVE
TACOMA, WA 98431
Emergency Medicine
MADIGAN ARMY MEDICAL CENTER 9040 JACKSON AVE
TACOMA, WA 98431

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 Marc Serra's NPI number?

The NPI number for Marc Serra is 1316957442. It was assigned to this individual provider in the NPPES registry on August 9, 2006.

Where is Marc Serra located?

Marc Serra practices at Madigan Army Medical Center 9040 Jackson Ave, Tacoma, WA 98431. The listed phone number is (253) 968-0178.

What is Marc Serra's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is Marc Serra enrolled in Medicare?

No. Marc Serra has opted out of Medicare through April 15, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Marc Serra accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, HRI Dental & Vision and Humana and 2 other insurers list Marc Serra 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 Marc Serra was last updated on April 5, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.