Cyril Manchery, DDS

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

13382 Issued in NC

Practice address

5829 Phyliss LN
Mint Hill, NC 28227-9031

Phone

(704) 790-0590

NPI assigned

Feb 11, 2021

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: cmanchery2880184@carolinashealthcaresystem.direct-ci.com

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.

• Londry, Modlin, Tucker III DDS PLLC

  • Pediatric Dentistry
  • Mint Hill, NC
  • NPI 1164281275
  NPD

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

{
    "created_epoch": "1613001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690156800000",
    "number": "1124610001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "577 LUDLOW AVE",
            "city": "CRANFORD",
            "state": "NJ",
            "postal_code": "070168700",
            "telephone_number": "908-425-6034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5829 PHYLISS LN",
            "city": "MINT HILL",
            "state": "NC",
            "postal_code": "282279031",
            "telephone_number": "704-790-0590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANCHERY",
        "first_name": "CYRIL",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-02-11",
        "last_updated": "2023-07-24",
        "certification_date": "2023-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NC",
            "license": "13382",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robin Loker, PT
• Londry, Modlin, Tucker III DDS PLLC
• Londry, Modlin, Tucker III DDS PLLC
• Nancy Magyer, R.PH.
• Dylan Malloy, PA-C
• Janet E Mangum, DMD
• Stephanie Carrie Manning, DDS
• Mateen Oliver Manshadi, MD
• Ericka Sherrell Martin
• Jane Martin, PTA

• Pediatric Dentistry in Mint Hill, NC
• Providers in Mint Hill, NC by specialty
• Pediatric Dentistry in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2023; 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.