MRS. LISELOTTE ALICE MANNION-BLACK (DDS) – General Practice Dentistry, NPI 1871691600

MRS. LISELOTTE ALICE MANNION-BLACK (DDS) is a healthcare provider. based in Kennewick, Washington. specializing in General Practice Dentistry. They hold the professional credentials DDS. They hold a License No. DE00007313 (WA). The NPI Number for MRS. LISELOTTE ALICE MANNION-BLACK (DDS) is 1871691600

Main info

Female
Name
MRS. LISELOTTE ALICE MANNION-BLACK (DDS)
NPI
1871691600
Phone
(509) 735-9548
Address
8400 W GAGE BLVD
Enumeration Date
20 September 2006
Last Update Date
23 March 2026
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness85
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for MRS. LISELOTTE ALICE MANNION-BLACK (DDS)

  • 8400, West Gage Boulevard, Kennewick, Benton County, Washington, 99338, United States

    KENNEWICK, WA 993361075

    Phone: (509) 735-9548

    Fax: (509) 735-6876

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $18.

Total Amount is formed as General ($18) + Research ($0) + Ownership ($0) = $18.

Last reported payment date: 2024-08-21 • Largest payer in this snapshot: VOCO America Inc. ($18).

Total Amount

$18

General + Research + Ownership

Payments

1

Total payment records

General Amount

$18

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-21

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
VOCO America Inc.$18
View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2015-07-20

PECOS data refreshed: 2026-05-27

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 99336)

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Reviews

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Frequently asked questions

How do payers reference MRS. LISELOTTE ALICE MANNION-BLACK (DDS)?
For MRS. LISELOTTE ALICE MANNION-BLACK (DDS), use NPI 1871691600 as the unique 10-digit identifier.
Is MRS. LISELOTTE ALICE MANNION-BLACK (DDS) still an active registrant?
MRS. LISELOTTE ALICE MANNION-BLACK (DDS) carries an active NPI according to the public dataset.
What expertise is attributed to MRS. LISELOTTE ALICE MANNION-BLACK (DDS)?
MRS. LISELOTTE ALICE MANNION-BLACK (DDS)'s specialty line reads General Practice Dentistry. Clinical services aligned with this taxonomy classification.
What locale is associated with MRS. LISELOTTE ALICE MANNION-BLACK (DDS)?
Directory geography for MRS. LISELOTTE ALICE MANNION-BLACK (DDS) centers on Kennewick, Washington.
When was this NPI issued?
Enumeration for MRS. LISELOTTE ALICE MANNION-BLACK (DDS) is noted as September 20, 2006 where the registry provides it.

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