Manish Himatbhai Lakkad, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

DS042864 Issued in PA

Practice address

2952 Meridian LN Apt 9
Mechanicsburg, PA 17055-6899

Phone

(717) 248-9900

NPI assigned

Jul 29, 2020

Last updated

Dec 7, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Enrolled in PA

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

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/EABGBA

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Sadler Health Center Corporation

  • Federally Qualified Health Center (FQHC)
  • Carlisle, PA
  • NPI 1467494823
  Medicare reassignment NPD
• Sadler Health Center Corporation

  • Federally Qualified Health Center (FQHC)
  • Mechanicsburg, PA
  • NPI 1619681616
  NPD
• Sadler Health Center Corporation

  • Federally Qualified Health Center (FQHC)
  • Loysville, PA
  • NPI 1740414416
  NPD (past)

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

{
    "created_epoch": "1595980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701907200000",
    "number": "1528677150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2952 MERIDIAN LN APT 9",
            "city": "MECHANICSBURG",
            "state": "PA",
            "postal_code": "170556899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2952 MERIDIAN LN APT 9",
            "city": "MECHANICSBURG",
            "state": "PA",
            "postal_code": "170556899",
            "telephone_number": "717-248-9900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAKKAD",
        "first_name": "MANISH",
        "middle_name": "HIMATBHAI",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-07-29",
        "last_updated": "2023-12-07",
        "certification_date": "2023-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS042864",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Morgan Kunes
• Misty Marie Ann Kurtz, LPN
• Laauure Home Care LLC
• Shona Labaff, COTA/L, CPAM
• Craig Lahar, DMD
• Alexis Lamb
• Gena Lambe
• Pantelia Lamnatos
• Shelby Faith Landes, RN
• Nathan Landry, PA-C

• Dentist in Mechanicsburg, PA
• Providers in Mechanicsburg, PA by specialty
• Dentist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2023; 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.