Active NPI
Manisha Singh Grover, DDS
- General Practice Dentistry
- Leesburg, VA
National Provider Identifier
1396134235
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 0401415403
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 057606 | NY | MD | Dentist |
| 0401415403 | VA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Dentist
- Leesburg, VA
- NPI 1679704035
-
- General Practice Dentistry
- Leesburg, VA
- NPI 1740766914
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.