NPIMap

Organization Active NPI

George Mani, DDS, PA

  • General Practice Dentistry
  • Wake Forest, NC
National Provider Identifier
1336367184
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
5977 Issued in NC
Legal business name
GEORGE MANI, DDS, PA
Practice address
1900 S Main St
Suite 206
Wake Forest, NC 27587-5026
Phone
(919) 562-7008
Fax
(919) 562-9809
NPI assigned
Apr 24, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. George Mani, DDSNPI 1114935194
Title
DDS, Owner
Phone
(919) 562-7008

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 5977 NC Primary

Addresses

Primary practice location

1900 S Main St
Suite 206
Wake Forest, NC 27587-5026

Mailing address

1900 S Main St
Suite 206
Wake Forest, NC 27587-5026
Phone (919) 562-7008

Other names 1

  • Wake Forest Family Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

1900 S Main St
Ste 206
Wake Forest, NC 27587
Phone (919) 562-7008

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1177372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1336367184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 S MAIN ST",
            "address_2": "SUITE 206",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "275875026",
            "telephone_number": "919-562-7008",
            "fax_number": "919-562-9809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 S MAIN ST",
            "address_2": "SUITE 206",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "275875026",
            "telephone_number": "919-562-7008",
            "fax_number": "919-562-9809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGE MANI, DDS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MANI",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_title_or_position": "DDS, OWNER",
        "authorized_official_telephone_number": "919-562-7008",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "5977",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wake Forest Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wake Forest, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.