Active NPI
Krista Noel Manickas, D.M.D.
- Prosthodontics
- Lexington, MA
National Provider Identifier
1386816817
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthodontics
- License
- 18001
- Practice address
- 803 Mass Ave
Lexington, MA 02420-3918 - Phone
- (781) 862-8220
- NPI assigned
- Mar 25, 2008
- Last updated
- Jul 15, 2026
- 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 |
|---|---|---|---|---|
| Prosthodontics | 1223P0700X | 18001 | MA | Primary |
Addresses
Primary practice location
803 Mass Ave
Lexington, MA 02420-3918
Mailing address
803 Mass Ave
Lexington, MA 02420-3918
Phone (781) 862-8220
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 |
|---|---|---|---|
| 18001 | MA | MD | Prosthodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1206403200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784073600000",
"number": "1386816817",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "803 MASS AVE",
"city": "LEXINGTON",
"state": "MA",
"postal_code": "024203918",
"telephone_number": "781-862-8220"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "803 MASS AVE",
"city": "LEXINGTON",
"state": "MA",
"postal_code": "024203918",
"telephone_number": "781-862-8220"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANICKAS",
"first_name": "KRISTA",
"middle_name": "NOEL",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-03-25",
"last_updated": "2026-07-15",
"certification_date": "2026-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0700X",
"taxonomy_group": "",
"desc": "Dentist, Prosthodontics",
"state": "MA",
"license": "18001",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lexington, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.