DR. TATYANA MANYAK DDS
NPI 1477572501
Dentist - General Practice in San Mateo, CA
About Dr. Tatyana Manyak Dds NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. TATYANA MANYAK DDS (NPI 1477572501) is an individual general practice provider in San Mateo, California, licensed in California (45588) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Tatyana Manyak Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 94401 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
SAN MATEO, CA 94401
SAN MATEO, CA 94401
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 Tatyana Manyak's NPI number?
The NPI number for Tatyana Manyak is 1477572501. It was assigned to this individual provider in the NPPES registry on July 19, 2006.
Where is Tatyana Manyak located?
Tatyana Manyak practices at 100 S Ellsworth Ave #208, San Mateo, CA 94401. The listed phone number is (650) 342-9941.
What is Tatyana Manyak's specialty?
The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.
Is Tatyana Manyak enrolled in Medicare?
Yes. Tatyana Manyak is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Tatyana Manyak was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.
# Dr. Tatyana Manyak, DDS · NPI 1477572501
General Practice provider in San Mateo, California. Individual provider, active in the CMS NPPES registry since July 19, 2006.
## Identity
- **NPI:** 1477572501 (Entity type: Individual)
- **Enumerated:** July 19, 2006
- **Primary specialty:** Dentist - General Practice · taxonomy 1223G0001X
- **State license:** 45588 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 100 S ELLSWORTH AVE, #208, San Mateo, CA 94401-3939
- **Phone:** (650) 342-9941
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
## Record status
- **NPPES last updated:** July 8, 2007
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Source: [NPI Profile](https://npiprofile.com/npi/1477572501) · Data from the CMS NPPES public registry.