Individual provider Active NPI

Manohar A Lalchandani, D.D.S.

  • General Practice Dentistry
  • Holyoke, MA
National Provider Identifier
1023137080
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
12585 Issued in MA
Practice address
1820 Northampton St
Holyoke, MA 01040-1923
Phone
(413) 536-1782
Fax
(413) 532-1400
NPI assigned
Mar 28, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 12585 MA Primary

Addresses

Primary practice location

1820 Northampton St
Holyoke, MA 01040-1923

Mailing address

1820 Northampton St
Holyoke, MA 01040-1923
Phone (413) 536-1782

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150202000037 MA Order and Referring Only - DentistPractitioner - Dentist 0244554830

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12585MAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Oakdale Dental Associates PC 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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1023137080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1820 NORTHAMPTON ST",
            "city": "HOLYOKE",
            "state": "MA",
            "postal_code": "010401923",
            "telephone_number": "413-536-1782",
            "fax_number": "413-532-1400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1820 NORTHAMPTON ST",
            "city": "HOLYOKE",
            "state": "MA",
            "postal_code": "010401923",
            "telephone_number": "413-536-1782",
            "fax_number": "413-532-1400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LALCHANDANI",
        "first_name": "MANOHAR",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "12585",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Holyoke, MA

Sources for this page

Verify at the official NPI Registry.