Active NPI
Manraj Singh Bhangra
- General Practice Dentistry
- Ashburn, VA
National Provider Identifier
1427735141
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 0401418447
- Practice address
- 42273 Otter Creek Ter
Ashburn, VA 20148-1803 - Phone
- (571) 888-0166
- NPI assigned
- Jul 4, 2023
- Sex
- Male
- 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 0401418447 | VA | Primary |
Addresses
Primary practice location
42273 Otter Creek Ter
Ashburn, VA 20148-1803
Mailing address
42273 Otter Creek Ter
Ashburn, VA 20148-1803
Phone (571) 888-0166
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 |
|---|---|---|---|
| 0401418447 | VA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1688428800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1688428800000",
"number": "1427735141",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "42273 OTTER CREEK TER",
"city": "ASHBURN",
"state": "VA",
"postal_code": "201481803",
"telephone_number": "571-888-0166"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "42273 OTTER CREEK TER",
"city": "ASHBURN",
"state": "VA",
"postal_code": "201481803",
"telephone_number": "571-888-0166"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BHANGRA",
"first_name": "MANRAJ",
"middle_name": "SINGH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-07-04",
"last_updated": "2023-07-04",
"certification_date": "2023-07-04",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "VA",
"license": "0401418447",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ashburn, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.