Active NPI
Kanwarpal Singh DDS LLC
- Dental Clinic/Center
- Manchester, CT
National Provider Identifier
1497156145
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- Legal business name
- KANWARPAL SINGH DDS LLC
- Practice address
- 419 Middle Tpke W
Manchester, CT 06040-3833 - Phone
- (954) 798-0320
- NPI assigned
- Sep 12, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Kanwarpal Singh, DDS
- Title
- Sole Owner
- Phone
- (954) 798-0320
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 10315 | CT | |
| General Practice Dentistry | 1223G0001X | 10315 | CT | |
| Dental Clinic/Center | 261QD0000X | Primary |
Addresses
Primary practice location
419 Middle Tpke W
Manchester, CT 06040-3833
Mailing address
419 Middle Tpke W
Manchester, CT 06040-3833
Phone (954) 798-0320
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 008017936 | Medicaid | CT |
Other names 1
- Manchester Dental Group
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Oral and Maxillofacial Surgery (Dentist)
- Manchester, CT
- NPI 1083927214
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1410480000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1708992000000",
"number": "1497156145",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "419 MIDDLE TPKE W",
"city": "MANCHESTER",
"state": "CT",
"postal_code": "060403833",
"telephone_number": "954-798-0320"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "419 MIDDLE TPKE W",
"city": "MANCHESTER",
"state": "CT",
"postal_code": "060403833",
"telephone_number": "954-798-0320"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KANWARPAL SINGH DDS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2014-09-12",
"last_updated": "2024-02-27",
"certification_date": "2024-02-27",
"status": "A",
"authorized_official_last_name": "SINGH",
"authorized_official_first_name": "KANWARPAL",
"authorized_official_title_or_position": "SOLE OWNER",
"authorized_official_telephone_number": "954-798-0320",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist",
"state": "CT",
"license": "10315",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "CT",
"license": "10315",
"primary": false
},
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "008017936",
"state": "CT"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Manchester Dental Group",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Manchester, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.