Individual provider Active NPI

Manish Tomar

  • Dental Hygienist
  • Denver, CO
National Provider Identifier
1245849256
Registry record updated Jul 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental HygienistTaxonomy code 124Q00000X
License
002025712 Issued in CO
Practice address
4562 E Dartmouth Ave
Denver, CO 80222-6732
Phone
(913) 710-5158
NPI assigned
Jul 26, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 17, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Hygienist 124Q00000X 002025712 CO Primary

Addresses

Primary practice location

4562 E Dartmouth Ave
Denver, CO 80222-6732

Mailing address

4562 E Dartmouth Ave
Denver, CO 80222-6732
Phone (913) 710-5158

Other practice location 1

8301 E Prentice Ave
Greenwood Village, CO 80111-2903
Phone (720) 507-3937

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
002025712COMDDental Hygienist

Practice roles

OrganizationSpecialtyStatusNew patients
DTC Smile Care Dental Hygienist CurrentSince Nov 26, 2023 Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1595721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721174400000",
    "number": "1245849256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4562 E DARTMOUTH AVE",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802226732",
            "telephone_number": "913-710-5158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4562 E DARTMOUTH AVE",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802226732",
            "telephone_number": "913-710-5158"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8301 E Prentice Ave",
            "address_purpose": "LOCATION",
            "city": "Greenwood Village",
            "state": "CO",
            "postal_code": "801112903",
            "country_code": "US",
            "telephone_number": "720-507-3937",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TOMAR",
        "first_name": "MANISH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-07-26",
        "last_updated": "2024-07-17",
        "certification_date": "2024-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "CO",
            "license": "002025712",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2024; 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.