Mansi P Upadhyaya, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

7219 Issued in WI

Practice address

5324 S 27TH St
Milwaukee, WI 53221-3724

Phone

(630) 212-0911

NPI assigned

Jan 8, 2013

Last updated

Feb 22, 2016By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in WI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1357603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456099200000",
    "number": "1073850202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1812 E LAFAYETTE PL",
            "address_2": "APT #404",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532021188",
            "telephone_number": "630-212-0911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5324 S 27TH ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532213724",
            "telephone_number": "630-212-0911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UPADHYAYA",
        "first_name": "MANSI",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-01-08",
        "last_updated": "2016-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WI",
            "license": "7219",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019.029293",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jason James Unruh, BS, CSAC
• Untethered Tongue Tie Center LLC
• Up & Go Transport LLC
• Christina Marie Upadhyaya, PA-C
• Krishna Upadhyaya, M.D.
• Amarianna Upham
• Natasha Upshaw
• Uptown Community Prenatal Care Services
• Jessee Taylor Urbaitis, PA-C
• Urban Centre

• Dentist in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Dentist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.