Active NPI
Manasa Bhavana
- Dentist
- Oxon Hill, MD
National Provider Identifier
1376383547
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 18042
- Practice address
- 6181 Livingston Rd
Oxon Hill, MD 20745-3006 - Phone
- (301) 880-9999
- NPI assigned
- May 27, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 18042 | MD | Primary |
Addresses
Primary practice location
6181 Livingston Rd
Oxon Hill, MD 20745-3006
Mailing address
6181 Livingston Rd
Oxon Hill, MD 20745-3006
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
| License | State | Type | Specialty |
|---|---|---|---|
| 18042 | MD | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dental Glitters LLC | Current | Accepting new patients |
Locations
6181 Livingston Rd
Oxon Hill, MD 20745
Phone (301) 880-9999
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.
-
- General Practice Dentistry
- Oxon Hill, MD
- NPI 1508544891
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1716768000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1716768000000",
"number": "1376383547",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6181 LIVINGSTON RD",
"city": "OXON HILL",
"state": "MD",
"postal_code": "207453006"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6181 LIVINGSTON RD",
"city": "OXON HILL",
"state": "MD",
"postal_code": "207453006",
"telephone_number": "301-880-9999"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BHAVANA",
"first_name": "MANASA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-05-27",
"last_updated": "2024-05-27",
"certification_date": "2024-05-27",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MD",
"license": "18042",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oxon Hill, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 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.