Individual provider Active NPI

Nishat N Manzur, DMD

  • Dentist
  • Royal Palm Beach, FL
National Provider Identifier
1053036202
Registry record updated Oct 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
108182 Issued in CA
Practice address
1595 Briar Oak Dr
Royal Palm Beach, FL 33411-6145
Phone
(786) 899-8588
NPI assigned
Oct 10, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 108182 CA Primary

Addresses

Primary practice location

1595 Briar Oak Dr
Royal Palm Beach, FL 33411-6145

Mailing address

1595 Briar Oak Dr
Royal Palm Beach, FL 33411-6145
Phone (786) 899-8588

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL 7868998588 Direct

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)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
M & H Dental Group PLLC Dentist Past Accepting new patients

Networks

  • Freedom Health HMO Network

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": "1665360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665360000000",
    "number": "1053036202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1595 BRIAR OAK DR",
            "city": "ROYAL PALM BEACH",
            "state": "FL",
            "postal_code": "334116145",
            "telephone_number": "786-899-8588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1595 BRIAR OAK DR",
            "city": "ROYAL PALM BEACH",
            "state": "FL",
            "postal_code": "334116145",
            "telephone_number": "786-899-8588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANZUR",
        "first_name": "NISHAT",
        "middle_name": "N",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-10",
        "last_updated": "2022-10-10",
        "certification_date": "2022-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "108182",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "7868998588",
            "affiliation": "N",
            "endpointDescription": "Mobile Phone",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1595 Briar Oak Dr",
            "city": "Royal Palm Beach",
            "state": "FL",
            "country_code": "US",
            "postal_code": "334116145",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Royal Palm Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.