Individual provider Active NPI

Manisha Singh Grover, DDS

  • General Practice Dentistry
  • Leesburg, VA
National Provider Identifier
1396134235
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
0401415403 Issued in VA
Practice address
540 Fort Evans Rd Ste 100
Leesburg, VA 20176-3379
Phone
(703) 779-7779
NPI assigned
Jan 15, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 057606 NY
General Practice Dentistry 1223G0001X 0401415403 VA Primary

Addresses

Primary practice location

540 Fort Evans Rd Ste 100
Leesburg, VA 20176-3379

Mailing address

8711 Digges Rd
Manassas, VA 20110-4403

Other practice location 1

3400 Snyder Ave
Suite 1B
Brooklyn, NY 11203-3961
Phone (855) 693-7296

Other practice location 2

8711 Digges Rd
Manassas, VA 20110-4403
Phone (703) 368-9777

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
057606NYMDDentist
0401415403VAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Loudoun Dental Smiles General Practice Past Accepting new patients
DRS. Varney & Leipzig, PLC Dentist Past Accepting new patients

Organizations & group practices 2

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": "1421280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1396134235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8711 DIGGES RD",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201104403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "540 FORT EVANS RD STE 100",
            "city": "LEESBURG",
            "state": "VA",
            "postal_code": "201763379",
            "telephone_number": "703-779-7779"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3400 Snyder Ave",
            "address_2": "Suite 1B",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112033961",
            "country_code": "US",
            "telephone_number": "855-693-7296",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8711 Digges Rd",
            "address_purpose": "LOCATION",
            "city": "Manassas",
            "state": "VA",
            "postal_code": "201104403",
            "country_code": "US",
            "telephone_number": "703-368-9777",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GROVER",
        "first_name": "MANISHA",
        "middle_name": "SINGH",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-01-15",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "057606",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401415403",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Leesburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.