Globus Dental Associates Manchester, PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

GLOBUS DENTAL ASSOCIATES MANCHESTER, PC

Practice address

1540 Pleasant Valley Rd Ste G
Manchester, CT 06042-8760

Phone

(860) 644-5400

NPI assigned

Nov 30, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Nayaki Chirumamilla

Title

President

Phone

(860) 644-5400

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1354233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354233600000",
    "number": "1235474388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1540 PLEASANT VALLEY RD STE G",
            "city": "MANCHESTER",
            "state": "CT",
            "postal_code": "060428760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1540 PLEASANT VALLEY RD STE G",
            "city": "MANCHESTER",
            "state": "CT",
            "postal_code": "060428760",
            "telephone_number": "860-644-5400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLOBUS DENTAL ASSOCIATES MANCHESTER, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-30",
        "last_updated": "2012-11-30",
        "status": "A",
        "authorized_official_last_name": "CHIRUMAMILLA",
        "authorized_official_first_name": "NAYAKI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "860-644-5400",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Manchester, CT
• Providers in Manchester, CT by specialty
• General Practice Dentistry in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2012; 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.