Active NPI
Dimple Manchandia
- General Practice Dentistry
- Tustin, CA
National Provider Identifier
1013085208
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 46882
- Practice address
- 18102 Irvine Blvd
Suite 200
Tustin, CA 92780-3402 - Phone
- (714) 832-7220
- NPI assigned
- Dec 4, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 46882 | CA | Primary |
Addresses
Primary practice location
18102 Irvine Blvd
Suite 200
Tustin, CA 92780-3402
Mailing address
18102 Irvine Blvd
Suite 200
Tustin, CA 92780-3402
Phone (714) 832-7220
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 46882 | CA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dimple Manchandia DDS, Inc | General Practice | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Practice Dentistry
- Tustin, CA
- NPI 1801196514
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165190400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1286928000000",
"number": "1013085208",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18102 IRVINE BLVD",
"address_2": "SUITE 200",
"city": "TUSTIN",
"state": "CA",
"postal_code": "927803402",
"telephone_number": "714-832-7220"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18102 IRVINE BLVD",
"address_2": "SUITE 200",
"city": "TUSTIN",
"state": "CA",
"postal_code": "927803402",
"telephone_number": "714-832-7220"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANCHANDIA",
"first_name": "DIMPLE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-04",
"last_updated": "2010-10-13",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "46882",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tustin, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.