Manvir Kaur, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

D12023 Issued in OR

Practice address

48 NE 11TH St
Madras, OR 97741-1865

Phone

(541) 777-5010

NPI assigned

Jul 14, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

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 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1594684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719964800000",
    "number": "1457969669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1979 SW 41ST LN",
            "city": "REDMOND",
            "state": "OR",
            "postal_code": "977566894",
            "telephone_number": "253-330-7138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "48 NE 11TH ST",
            "city": "MADRAS",
            "state": "OR",
            "postal_code": "977411865",
            "telephone_number": "541-777-5010"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1979 SW 41st Ln",
            "address_purpose": "LOCATION",
            "city": "Redmond",
            "state": "OR",
            "postal_code": "977566894",
            "country_code": "US",
            "telephone_number": "253-330-7138",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KAUR",
        "first_name": "MANVIR",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-14",
        "last_updated": "2024-07-03",
        "certification_date": "2024-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WA",
            "license": "61085507",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OR",
            "license": "D12023",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John K Ross, MD PC
• Lisa Marie Johnson, MSW
• Marissa Rose Kalama, CRM
• Fredrick Kane, LPC
• Brennan John Kappes, PHARMD
• Kathryn Elizabeth Kemp, MSW
• Kristina Kersteter McElroy, QMHP
• Tatiana Kognovitskaia I, M.S. CCC-SLP
• Sarah Lake
• Laura a Schweger, PC

• Dentist in Madras, OR
• Providers in Madras, OR by specialty
• Dentist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 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.