Active NPI
Manish Sanon, D.D.S.
- General Practice Dentistry
- Penfield, NY
National Provider Identifier
1477644300
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 044196-1
- Practice address
- 2214 Penfield Rd
Penfield, NY 14526-1922 - Phone
- (585) 377-3130
- Fax
- (585) 377-3358
- NPI assigned
- Sep 27, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 | 044196-1 | NY | Primary |
Addresses
Primary practice location
2214 Penfield Rd
Penfield, NY 14526-1922
Mailing address
2214 Penfield Rd
Penfield, NY 14526-1922
Phone (585) 377-3130
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 044196-1 | Other | NY | LICENSE/CERTIFICATE NUMBE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 044196-1 | NY | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159315200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1462406400000",
"number": "1477644300",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2214 PENFIELD RD",
"city": "PENFIELD",
"state": "NY",
"postal_code": "145261922",
"telephone_number": "585-377-3130",
"fax_number": "585-377-3358"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2214 PENFIELD RD",
"city": "PENFIELD",
"state": "NY",
"postal_code": "145261922",
"telephone_number": "585-377-3130",
"fax_number": "585-377-3358"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANON",
"first_name": "MANISH",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-27",
"last_updated": "2016-05-05",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NY",
"license": "044196-1",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE/CERTIFICATE NUMBE",
"identifier": "044196-1",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Penfield, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2016; 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.