Viraj Manocha, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

DN17885 Issued in FL

Practice address

1838 Miccosukee Rd
Tallahassee, FL 32308-5250

Phone

(850) 878-1345

Fax

(850) 878-5496

NPI assigned

Jan 25, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

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

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Manocha, McSoley, & Balan

  • General Practice Dentistry
  • Tallahassee, FL
  • NPI 1770920357
  NPD (past)

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1398297600000",
    "number": "1104972132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1838 MICCOSUKEE RD",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323085250",
            "telephone_number": "850-878-1345",
            "fax_number": "850-878-5496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1838 MICCOSUKEE RD",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323085250",
            "telephone_number": "850-878-1345",
            "fax_number": "850-878-5496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANOCHA",
        "first_name": "VIRAJ",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-25",
        "last_updated": "2014-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN17885",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shametra L Manning
• Ashok Manocha, BDS
• Dheeraj Manocha, D.C.
• Manocha, McSoley, & Balan
• Sonia Manocha, PA
• Varak Rosdom Manoogian
• Tonya Renee Mantay, MA 0017435
• Selvan Manthiram, DDS
• Jennifer Manuel, RDH
• Jessica Manzanillo

• Dentist in Tallahassee, FL
• Providers in Tallahassee, FL by specialty
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2014; 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.