Active NPI
Lexington Implant and Restorative Dentistry
- Prosthodontics
- Lexington, MA
National Provider Identifier
1548189103
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthodontics
- Legal business name
- LEXINGTON IMPLANT AND RESTORATIVE DENTISTRY
- Practice address
- 803 Massachusetts Ave
Lexington, MA 02420-3918 - Phone
- (781) 862-8223
- Fax
- (781) 538-4443
- NPI assigned
- Jul 15, 2026
- Last updated
- Jul 15, 2026
- 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
- Krista Noel Manickas, DMD
- Title
- Owner/Dentist
- Phone
- (781) 862-8223
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthodontics | 1223P0700X | Primary |
Addresses
Primary practice location
803 Massachusetts Ave
Lexington, MA 02420-3918
Mailing address
803 Massachusetts Ave
Lexington, MA 02420-3918
Phone (781) 862-8223
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1784073600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1784073600000",
"number": "1548189103",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "803 MASSACHUSETTS AVE",
"city": "LEXINGTON",
"state": "MA",
"postal_code": "024203918",
"telephone_number": "781-862-8223",
"fax_number": "781-538-4443"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "803 MASSACHUSETTS AVE",
"city": "LEXINGTON",
"state": "MA",
"postal_code": "024203918",
"telephone_number": "781-862-8223",
"fax_number": "781-538-4443"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LEXINGTON IMPLANT AND RESTORATIVE DENTISTRY",
"organizational_subpart": "NO",
"enumeration_date": "2026-07-15",
"last_updated": "2026-07-15",
"certification_date": "2026-07-15",
"status": "A",
"authorized_official_last_name": "MANICKAS",
"authorized_official_first_name": "KRISTA",
"authorized_official_middle_name": "NOEL",
"authorized_official_title_or_position": "OWNER/DENTIST",
"authorized_official_telephone_number": "781-862-8223",
"authorized_official_credential": "DMD"
},
"taxonomies": [
{
"code": "1223P0700X",
"taxonomy_group": "",
"desc": "Dentist, Prosthodontics",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lexington, MA
- Lexington Eye Associates, Inc.
- Lexington Eye Associates, Inc.
- Lexington Family Chiropractic, PLLC
- Lexington Family Dental, PC
- Lexington Home Care, LLC
- Lexington Implant and Restorative Dentistry
- Lexington Medical Management P.C. (Health Stop)
- Lexington Nutrition Services
- Lexington Orthodontics, LLC
- Lexington Pediatrics, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.