NPIMap

Organization Active NPI

Manisha Sisodia, DDS Inc.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Simi Valley, CA
National Provider Identifier
1194439612
Registry record updated Jan 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
Legal business name
MANISHA SISODIA, DDS INC.
Practice address
1720 E Los Angeles Ave Ste 210
Simi Valley, CA 93065-2094
Phone
(805) 527-6755
NPI assigned
Jan 9, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2023

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

Authorized official

Name
Manisha Sisodia, DDSNPI 1164602538
Title
President
Phone
(213) 595-9757

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
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X Primary

Addresses

Primary practice location

1720 E Los Angeles Ave Ste 210
Simi Valley, CA 93065-2094

Mailing address

1720 E Los Angeles Ave Ste 210
Simi Valley, CA 93065-2094
Phone (805) 527-6755

National Provider Directory

National Provider Directory

Locations

1720 E Los Angeles Ave
Ste 210
Simi Valley, CA 93065
Phone (805) 527-6755

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": "1673222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673222400000",
    "number": "1194439612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1720 E LOS ANGELES AVE STE 210",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930652094",
            "telephone_number": "805-527-6755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1720 E LOS ANGELES AVE STE 210",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930652094",
            "telephone_number": "805-527-6755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANISHA SISODIA, DDS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-09",
        "last_updated": "2023-01-09",
        "certification_date": "2023-01-09",
        "status": "A",
        "authorized_official_last_name": "SISODIA",
        "authorized_official_first_name": "MANISHA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "213-595-9757",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Simi Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 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.