NPIMap

Organization Active NPI

Manchester Smiles Family and Implant Dentistry LLC

  • Dentist
  • Manchester, CT
National Provider Identifier
1174929970
Registry record updated Nov 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
MANCHESTER SMILES FAMILY AND IMPLANT DENTISTRY LLC
Practice address
168 Spencer St
Manchester, CT 06040-4616
Phone
(860) 649-2796
NPI assigned
Nov 6, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2014

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

Authorized official

Name
Dr. Mamta Vipin Patel, DDS
Title
Onwer
Phone
(860) 861-3531

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X CT Primary

Addresses

Primary practice location

168 Spencer St
Manchester, CT 06040-4616

Mailing address

168 Spencer Street
Manchester, CT 06040
Phone (860) 649-2796

National Provider Directory

National Provider Directory
Tax ID family
Manchester Smiles Family and Implant Dentistry LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

168 Spencer St
Manchester, CT 06040
Phone (475) 313-8831

NPI Registry JSON

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

{
    "created_epoch": "1415232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415232000000",
    "number": "1174929970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "168 SPENCER STREET",
            "city": "MANCHESTER",
            "state": "CT",
            "postal_code": "06040",
            "telephone_number": "860-649-2796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "168 SPENCER ST",
            "city": "MANCHESTER",
            "state": "CT",
            "postal_code": "060404616",
            "telephone_number": "860-649-2796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANCHESTER SMILES FAMILY AND IMPLANT DENTISTRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-06",
        "last_updated": "2014-11-06",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "MAMTA",
        "authorized_official_middle_name": "VIPIN",
        "authorized_official_title_or_position": "ONWER",
        "authorized_official_telephone_number": "860-861-3531",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CT",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manchester, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2014; 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.