Gauri Dipak Mankame, D.M.D.

Primary specialty

DentistTaxonomy code 122300000X

License

19877 Issued in FL

Practice address

300 NW 70TH Ave Ste 109
Plantation, FL 33317-2360

Phone

(954) 791-1630

NPI assigned

Apr 26, 2013

Last updated

Dec 12, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL, OH2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1366934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733961600000",
    "number": "1396189825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "431 NW 108TH AVE",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333241546",
            "telephone_number": "954-683-8056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 NW 70TH AVE STE 109",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333172360",
            "telephone_number": "954-791-1630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANKAME",
        "first_name": "GAURI",
        "middle_name": "DIPAK",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-04-26",
        "last_updated": "2024-12-12",
        "certification_date": "2024-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "19877",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vivek Manda
• Amulya Mandavalli
• Mayur Maniar, MD
• Mankame, Dipak M., D.D.S., P.a.
• Disha D. Mankame, D.M.D.
• Ajaib S Mann Sr., M.D.
• Willie Maxton Mann IV
• Manor Care of Plantation FL LLC (ManorCare Health Services)
• Alvaro G Manotas, MD
• Ruben Manriquez, MD

• Dentist in Plantation, FL
• Providers in Plantation, FL by specialty
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.