Active NPI
Manvir Anand, DDS
- Dentist
- Austin, TX
National Provider Identifier
1588093603
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 28966
- Practice address
- 15 Waller St
Austin, TX 78702-5240 - Phone
- (512) 978-9895
- Fax
- (512) 978-9900
- NPI assigned
- Nov 8, 2013
- Last updated
- Oct 12, 2015
- Sex
- Male
- 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 | 28966 | TX | Primary |
Addresses
Primary practice location
15 Waller St
Austin, TX 78702-5240
Mailing address
15 Waller St
Austin, TX 78702-5240
Phone (512) 978-9895
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- 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 |
|---|---|---|---|---|
| I20160930001747 | TX | Order and Referring Only - Dentist | 4385931591 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28966 | TX | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1383868800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1444608000000",
"number": "1588093603",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15 WALLER ST",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787025240",
"telephone_number": "512-978-9895",
"fax_number": "512-978-9900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15 WALLER ST",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787025240",
"telephone_number": "512-978-9895",
"fax_number": "512-978-9900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANAND",
"first_name": "MANVIR",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-11-08",
"last_updated": "2015-10-12",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TX",
"license": "28966",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Austin, TX
- Ana Bradley Therapy & Consulting, PLLC
- Ana Mariacabezas, PLLC
- Lea Clomera Anacion
- Anan Transportation and Trading Services LLC
- Anand-Chandra PLLC (Belterra Dental)
- Rashi Anand
- Anant I Patel, MD PA (Central Texas Brain and Spine)
- Danielle Anastasi, RD
- Ana-Paula Anaya
- Jissel Belinda Anaya, MA, CCC-SLP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2015; 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.