Manisha Bhalla, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

010441 Issued in CT

Practice address

300 Hemingway Ave
East Haven, CT 06512-3000

Phone

(203) 469-5644

Fax

(203) 469-1067

NPI assigned

Jul 12, 2010

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Star Dental LLC

  • General Practice Dentistry
  • East Haven, CT
  • NPI 1336471614
  NPD (past)
• James J. Willoughby, D.D.S.,P.C.

  • General Practice Dentistry
  • Poughkeepsie, NY
  • NPI 1477686822
  NPD (past)
• Manisha Bhalla DMD PC

  • Customized Equipment (DME)
  • Poughkeepsie, NY
  • NPI 1114456142
  NPD (past)

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

{
    "created_epoch": "1278892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1496534400000",
    "number": "1427360098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46 FOX ST STE 2",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126014726",
            "telephone_number": "845-471-4383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 HEMINGWAY AVE",
            "city": "EAST HAVEN",
            "state": "CT",
            "postal_code": "065123000",
            "telephone_number": "203-469-5644",
            "fax_number": "203-469-1067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BHALLA",
        "first_name": "MANISHA",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-12",
        "last_updated": "2017-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CT",
            "license": "010441",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Bennett, LPCA
• Jennifer Marie Benoit, LCSW
• Thomas E Bertoni, P.T.
• Carmen Betancourt, LCSW
• BGRX
• Desiree Elizabeth Bishop
• Caitlyn Black
• Karen Monica Blanchard Gore', PHD
• Sharelle Blatche, LCSW
• Emily Bodinger, CD/PCD(DONA)

• General Practice Dentistry in East Haven, CT
• Providers in East Haven, CT by specialty
• General Practice Dentistry in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2017; 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.