Active NPI
Tina Manh, D.M.D.
- Dentist
- Saint Albans, VT
National Provider Identifier
1538594734
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 016.0095856
- Practice address
- 57 Old Orchard Rd
Saint Albans, VT 05478-2053 - Phone
- (802) 524-0345
- Fax
- (802) 524-0346
- NPI assigned
- Sep 6, 2013
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 016.0095856 | VT | Primary |
Addresses
Primary practice location
57 Old Orchard Rd
Saint Albans, VT 05478-2053
Mailing address
57 Old Orchard Rd
Saint Albans, VT 05478-2053
Phone (802) 524-0345
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180111001231 | VT | Order and Referring Only - Dentist | 2062771322 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 016.0095856 | VT | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Remy Vallee DMD Inc | Dentist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1378425600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1378425600000",
"number": "1538594734",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "57 OLD ORCHARD RD",
"city": "SAINT ALBANS",
"state": "VT",
"postal_code": "054782053",
"telephone_number": "802-524-0345",
"fax_number": "802-524-0346"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "57 OLD ORCHARD RD",
"city": "SAINT ALBANS",
"state": "VT",
"postal_code": "054782053",
"telephone_number": "802-524-0345",
"fax_number": "802-524-0346"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANH",
"first_name": "TINA",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-09-06",
"last_updated": "2013-09-06",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "VT",
"license": "016.0095856",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saint Albans, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2013; 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.