Organization Active NPI

Lexington Implant and Restorative Dentistry

  • Prosthodontics
  • Lexington, MA
National Provider Identifier
1548189103
Registry record updated Jul 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthodonticsTaxonomy code 1223P0700X
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, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2026

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)CodeLicenseStatePrimary
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 Directory

NPI 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

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.

Verify at the official NPI Registry.