Mandeep Vermani DDS PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D06920 Issued in AZ

Legal business name

MANDEEP VERMANI DDS PLLC

Practice address

1911 W Main St Ste 6
Mesa, AZ 85201-6929

Phone

(623) 428-9949

Fax

(623) 428-9962

NPI assigned

Aug 9, 2011

Last updated

May 3, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mandeep Vermani, DDSNPI 1295898054

Title

Owner/Member

Phone

(623) 428-9949

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ2 enrollments

Enrollment records 2

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mandeep Vermani, DDS

  • Orofacial Pain Dentistry
  • Mesa, AZ
  • NPI 1295898054

  General Practice

  Medicare reassignment NPD Authorized official
• Chad M. Cravatta, DMD, MS

  • Periodontics
  • Mesa, AZ
  • NPI 1457579302
  NPD (past)

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

{
    "created_epoch": "1312848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1556841600000",
    "number": "1235418161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 22270",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850280270",
            "telephone_number": "623-428-9949",
            "fax_number": "623-428-9962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1911 W MAIN ST STE 6",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852016929",
            "telephone_number": "623-428-9949",
            "fax_number": "623-428-9962"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18731 N Reems Rd Ste F-620",
            "address_purpose": "LOCATION",
            "city": "Surprise",
            "state": "AZ",
            "postal_code": "853748644",
            "country_code": "US",
            "telephone_number": "623-428-9949",
            "fax_number": "623-428-9962",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MANDEEP VERMANI DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-09",
        "last_updated": "2019-05-03",
        "status": "A",
        "authorized_official_last_name": "VERMANI",
        "authorized_official_first_name": "MANDEEP",
        "authorized_official_title_or_position": "OWNER/MEMBER",
        "authorized_official_telephone_number": "623-428-9949",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "D06920",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mammography Partners LLC
• Rania Mamo
• Samantha Manchik, LCSW
• Arlene Marie Mancuso, RN
• Marissa Pasion Mandap, DMD
• Mandeep Vermani DDS PLLC
• Maxine Mandell
• Mario Mandujano
• Diala Manfoukh
• Heather E. Mangam, MD

• General Practice Dentistry in Mesa, AZ
• Providers in Mesa, AZ by specialty
• General Practice Dentistry in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.