Mallempalli DDS Inc

Primary specialty

DentistTaxonomy code 122300000X

License

49586 Issued in CA

Legal business name

MALLEMPALLI DDS INC

Practice address

9359 Mira Mesa Blvd
N/a
San Diego, CA 92126-4816

Phone

(858) 549-8045

Fax

(858) 527-1572

NPI assigned

Feb 12, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Manimanjari MallempalliNPI 1801922273

Title

President

Phone

(858) 549-8045

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Manimanjari Mallempalli, DDS

  • Dentist
  • San Diego, CA
  • NPI 1801922273
  NPD (past) Authorized official

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

{
    "created_epoch": "1423699200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423699200000",
    "number": "1295126258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9359 MIRA MESA BLVD",
            "address_2": "N/A",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921264816",
            "telephone_number": "858-549-8045",
            "fax_number": "858-527-1572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9359 MIRA MESA BLVD",
            "address_2": "N/A",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921264816",
            "telephone_number": "858-549-8045",
            "fax_number": "858-527-1572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MALLEMPALLI DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-12",
        "last_updated": "2015-02-12",
        "status": "A",
        "authorized_official_last_name": "MALLEMPALLI",
        "authorized_official_first_name": "MANIMANJARI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "858-549-8045",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "49586",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mallari Snyder Physical Therapy P.C. (Thrive Physical Therapy San Diego)
• Lauren R Mallari- Snyder, PT, DPT
• Danica Charisma Mallari, DMD
• Raena Simone Padua Mallari
• Joanna Mallary, PSYD
• Manimanjari Mallempalli, DDS
• Nicole Mallery
• Kathy Malles-Overcast, RADT
• Christina Marie Malles, PA
• Jason Alexander Mallett, MD

• Dentist in San Diego, CA
• Providers in San Diego, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2015; 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.