Organization Active NPI

Manisha Bhalla DMD PC

  • Customized Equipment (DME)
  • Poughkeepsie, NY
National Provider Identifier
1114456142
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Customized Equipment (DME)Taxonomy code 332BC3200X
Legal business name
MANISHA BHALLA DMD PC
Practice address
46 Fox St Ste 2
Poughkeepsie, NY 12601-4726
Phone
(845) 471-4383
NPI assigned
Jun 4, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Miss Kathleen Nix
Title
Office Manager/Front Desk
Phone
(845) 471-4383

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Customized Equipment (DME) 332BC3200X Primary

Addresses

Primary practice location

46 Fox St Ste 2
Poughkeepsie, NY 12601-4726

Mailing address

46 Fox St Ste 2
Poughkeepsie, NY 12601-4726
Phone (845) 471-4383

National Provider Directory

National Provider Directory

Locations

46 Fox St
Ste 2
Poughkeepsie, NY 12601
Phone (845) 471-4383

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": "1496534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1114456142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46 FOX ST STE 2",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126014726",
            "telephone_number": "845-471-4383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46 FOX ST STE 2",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126014726",
            "telephone_number": "845-471-4383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANISHA BHALLA DMD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-04",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "NIX",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_title_or_position": "OFFICE MANAGER/FRONT DESK",
        "authorized_official_telephone_number": "845-471-4383",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Poughkeepsie, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.