NPIMap

Organization Active NPI

Manouch Darvish DMD PC

  • Health Maintenance Organization
  • Worcester, MA
National Provider Identifier
1194045385
Registry record updated Jun 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
License
10534 Issued in MA
Legal business name
MANOUCH DARVISH DMD PC
Practice address
200 Lincoln Street
Worcester, MA 01605
Phone
(508) 756-6264
Fax
(508) 756-6490
NPI assigned
Jun 10, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2010

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

Authorized official

Name
Dr. Manouch Darvish
Title
Owner
Phone
(508) 756-6264

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Maintenance Organization 302R00000X 10534 MA Primary

Addresses

Primary practice location

200 Lincoln Street
Worcester, MA 01605

Mailing address

200 Lincoln Street
Worcester, MA 01605
Phone (508) 756-6264

National Provider Directory

National Provider Directory
Tax ID family
DRS Darvish Gallagher PC2 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.

NPI Registry JSON

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

{
    "created_epoch": "1276128000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1276128000000",
    "number": "1194045385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 LINCOLN STREET",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "01605",
            "telephone_number": "508-756-6264",
            "fax_number": "508-756-6490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 LINCOLN STREET",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "01605",
            "telephone_number": "508-756-6264",
            "fax_number": "508-756-6490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANOUCH DARVISH DMD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-10",
        "last_updated": "2010-06-10",
        "status": "A",
        "authorized_official_last_name": "DARVISH",
        "authorized_official_first_name": "MANOUCH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "508-756-6264",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "MA",
            "license": "10534",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Worcester, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2010; 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.