Individual provider Active NPI

Ajith Rengarajan Manipala, DDS

  • Dentist
  • Livonia, MI
National Provider Identifier
1568156735
Registry record updated Dec 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
2901601769 Issued in MI
Practice address
32280 Five Mile Rd
Livonia, MI 48154-6112
Phone
(734) 425-7010
NPI assigned
Jun 8, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 2901601769 MI Primary

Addresses

Primary practice location

32280 Five Mile Rd
Livonia, MI 48154-6112

Mailing address

4151 17 Mile Rd Ste F
Sterling Heights, MI 48310-6866
Phone (586) 979-3200

Other practice location 1

4151 17 Mile Rd Ste F
Sterling Heights, MI 48310-6866
Phone (586) 979-3200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2901601769MIMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Anu Mangal DDS, PC CurrentSince Aug 18, 2024 Accepting new patients
Ace Dental, PLLC Dentist PastSince Jun 1, 2023 Accepting new patients
Daniel S Fox, DDS, PLLC PastSince Dec 21, 2025 Accepting new patients

Locations

4151 17 Mile Rd
Ste F
Sterling Hts, MI 48310
Phone (586) 979-3200

Organizations & group practices 3

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": "1686182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766016000000",
    "number": "1568156735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4151 17 MILE RD STE F",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483106866",
            "telephone_number": "586-979-3200",
            "fax_number": "586-979-3226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32280 FIVE MILE RD",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481546112",
            "telephone_number": "734-425-7010"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4151 17 Mile Rd Ste F",
            "address_purpose": "LOCATION",
            "city": "Sterling Heights",
            "state": "MI",
            "postal_code": "483106866",
            "country_code": "US",
            "telephone_number": "586-979-3200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MANIPALA",
        "first_name": "AJITH",
        "middle_name": "RENGARAJAN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-06-08",
        "last_updated": "2025-12-18",
        "certification_date": "2025-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901601769",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Livonia, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2025; 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.