Sadanand Manoli, DDS

Primary specialty

ProsthodonticsTaxonomy code 1223P0700X

License

5001575015 Issued in WI

Practice address

1559 West Greenfield Ave
Milwaukee, WI 53204

Phone

(414) 383-1034

Fax

(414) 463-9100

NPI assigned

Aug 1, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1629084165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1559 WEST GREENFIELD AVE",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "53204",
            "telephone_number": "414-383-1034",
            "fax_number": "414-463-9100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1559 WEST GREENFIELD AVE",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "53204",
            "telephone_number": "414-383-1034",
            "fax_number": "414-463-9100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANOLI",
        "first_name": "SADANAND",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "WI",
            "license": "5001575015",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "33540000",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bradley L. Manning III, M.D.
• Elonzo Manning Jr., COORDINATOR
• Erika Manning, MD, PHD
• Christina Marie Mannion, PA-C
• Christina Manolatos, MA,LPC, NBCCH
• Arianna Mansavage, MS
• Pamela Jean Mansfield, RN, WCC
• Sarah A Mansfield, NP
• Lucille C Mansky
• Rebeccah Manson, PH.D.

• Prosthodontics in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Prosthodontics in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.