Organization Active NPI

Manju R Kejriwal DDS Inc

Doing business as mk dental excellence

  • General Practice Dentistry
  • Cincinnati, OH
National Provider Identifier
1114575453
Registry record updated Aug 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
MANJU R KEJRIWAL DDS INC
Doing business as
mk dental excellence
Practice address
7140 Miami Ave Ste 102
Cincinnati, OH 45243-2676
Phone
(513) 271-5800
Fax
(513) 271-5843
NPI assigned
Aug 29, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2019

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

Authorized official

Name
Manju R Kejriwal, DDSNPI 1487860722
Title
Owner/Dentist
Phone
(513) 271-5800

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 MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

7140 Miami Ave Ste 102
Cincinnati, OH 45243-2676

Mailing address

7140 Miami Ave Ste 102
Cincinnati, OH 45243-2676
Phone (513) 271-5800

Other identifiers 1

IdentifierTypeStateIssuer
0106920MedicaidOH

Other names 1

  • mk dental excellence Doing business as

National Provider Directory

National Provider Directory

Locations

7140 Miami Ave
Ste 102
Cincinnati, OH 45243
Phone (513) 271-0371

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": "1567036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1567036800000",
    "number": "1114575453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7140 MIAMI AVE STE 102",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452432676",
            "telephone_number": "513-271-5800",
            "fax_number": "513-271-5843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7140 MIAMI AVE STE 102",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452432676",
            "telephone_number": "513-271-5800",
            "fax_number": "513-271-5843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANJU R KEJRIWAL DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-29",
        "last_updated": "2019-08-29",
        "status": "A",
        "authorized_official_last_name": "KEJRIWAL",
        "authorized_official_first_name": "MANJU",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "513-271-5800",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0106920",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "mk dental excellence",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cincinnati, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2019; 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.