OrganizationActive
Manzanita Kids Dentistry & Orthodontics, PLLC
NPI 1104209535 · Pediatric Dentistry · Austin, TX
Manzanita Kids Dentistry & Orthodontics, PLLC is a Pediatric Dentistry organization in Austin, TX (NPI 1104209535).
Provider details
- NPI number
- 1104209535
- Entity type
- Organization
- Primary specialty
- Pediatric DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Gloria Yanez, Pediatric Dentist(210) 884-5750
- License
- 21450 (TX)
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(73/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
11800 Dessau Rd
Suite 203
Austin, TX 78754-2154
Phone: (210) 884-5750
Street-level locationGet directions
Mailing address
11800 Dessau Rd Ste 203
Austin, TX 78754-2187
Registry dates
- Enumerated
- 2015-07-02
- Last updated
- 2025-06-09
- Certified
- 2025-06-09
Frequently asked questions
- What is Manzanita Kids Dentistry & Orthodontics, PLLC's NPI number?
- Manzanita Kids Dentistry & Orthodontics, PLLC's National Provider Identifier (NPI) is 1104209535, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Manzanita Kids Dentistry & Orthodontics, PLLC?
- Manzanita Kids Dentistry & Orthodontics, PLLC is classified in the NPPES registry as Pediatric Dentistry (Dental Providers).
- Where is Manzanita Kids Dentistry & Orthodontics, PLLC located?
- Manzanita Kids Dentistry & Orthodontics, PLLC's practice location on file with NPPES is 11800 Dessau Rd, Austin, TX 78754-2154.
- What is Manzanita Kids Dentistry & Orthodontics, PLLC's phone number?
- The practice phone number listed in the NPPES registry for Manzanita Kids Dentistry & Orthodontics, PLLC is (210) 884-5750.
- Who is the authorized official for Manzanita Kids Dentistry & Orthodontics, PLLC?
- The authorized official listed on Manzanita Kids Dentistry & Orthodontics, PLLC's NPPES record is Gloria Yanez, Pediatric Dentist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Manzanita Kids Dentistry & Orthodontics, PLLC's NPI active?
- Yes — Manzanita Kids Dentistry & Orthodontics, PLLC's NPI (1104209535) is active in the NPPES registry as of the last update on 2025-06-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.