Organization Active NPI

Mohan & Virani DDS, LLC

  • General Practice Dentistry
  • Norwich, CT
National Provider Identifier
1063004554
Registry record updated Feb 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
MOHAN & VIRANI DDS, LLC
Practice address
100 Fanning Ave
Norwich, CT 06360-2943
Phone
(860) 892-4996
NPI assigned
Feb 7, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2021

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

Authorized official

Name
Manik Mohan, DDSNPI 1518212455
Title
Managing Member
Phone
(408) 391-6024

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

100 Fanning Ave
Norwich, CT 06360-2943

Mailing address

100 Fanning Ave
Norwich, CT 06360-2943
Phone (860) 892-4996

National Provider Directory

National Provider Directory

Locations

100 Fanning Ave
Norwich, CT 06360
Phone (860) 892-4996

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1612656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613692800000",
    "number": "1063004554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 FANNING AVE",
            "city": "NORWICH",
            "state": "CT",
            "postal_code": "063602943",
            "telephone_number": "860-892-4996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 FANNING AVE",
            "city": "NORWICH",
            "state": "CT",
            "postal_code": "063602943",
            "telephone_number": "860-892-4996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOHAN & VIRANI DDS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-07",
        "last_updated": "2021-02-19",
        "certification_date": "2021-02-19",
        "status": "A",
        "authorized_official_last_name": "MOHAN",
        "authorized_official_first_name": "MANIK",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "408-391-6024",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norwich, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2021; 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.