NPIMap

Individual provider Active NPI

Bindiya Manalikuzhiyil, DDS

  • Dentist
  • Folsom, CA
National Provider Identifier
1215693601
Registry record updated Jan 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DDS106856 Issued in CA
Practice address
2260 E Bidwell St Ste 110
Folsom, CA 95630-3555
Phone
(916) 717-5424
NPI assigned
Nov 10, 2021
Last updated
Jan 25, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 25, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DDS106856 CA Primary

Addresses

Primary practice location

2260 E Bidwell St Ste 110
Folsom, CA 95630-3555

Mailing address

Smile Time Dental, 2260 E Bidwell Street
Folsom, CA 95730-8069

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DDS106856CAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Health and Life Organization, Inc Past Accepting new patients
Health and Life Organization, Inc Past Accepting new patients
Health and Life Organization, Inc. Dentist Past Accepting new patients
Health and Life Organization, Inc. Dentist Past Accepting new patients
Health and Life Organization, Inc. Past Accepting new patients

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1636502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643068800000",
    "number": "1215693601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "SMILE TIME DENTAL, 2260 E BIDWELL STREET",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "957308069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2260 E BIDWELL ST STE 110",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "956303555",
            "telephone_number": "916-717-5424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANALIKUZHIYIL",
        "first_name": "BINDIYA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-11-10",
        "last_updated": "2022-01-25",
        "certification_date": "2022-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "DDS106856",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Folsom, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2022; 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.