Manjudental Inc.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

48726 Issued in CA

Legal business name

MANJUDENTAL INC.

Practice address

1695 Peachwood Dr
San Jose, CA 95132-2107

Phone

(408) 836-9063

Fax

(413) 228-6011

NPI assigned

Oct 23, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Manjula Jaishankar, D.D.S

Title

Ceo

Phone

(408) 836-9063

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1382486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1382486400000",
    "number": "1639507916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1695 PEACHWOOD DR",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951322107",
            "telephone_number": "408-836-9063",
            "fax_number": "413-228-6011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1695 PEACHWOOD DR",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951322107",
            "telephone_number": "408-836-9063",
            "fax_number": "413-228-6011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANJUDENTAL INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-23",
        "last_updated": "2013-10-23",
        "status": "A",
        "authorized_official_last_name": "JAISHANKAR",
        "authorized_official_first_name": "MANJULA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "408-836-9063",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "48726",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cecilia L. Manibo, M.D.
• Kathleen Velarde Maniquis
• Liam Jonel Isaiah Rivera Maniquis
• Manjari Aravamuthan MD PC
• Ruben Castellanos Manjarrez
• Jessi Mankin
• Alexandra Eleni Adan Manlapaz
• Michael Mann Stock
• Amandeep Kaur Mann, R.D.N.
• Jaskiran Kaur Mann, DO

• General Practice Dentistry in San Jose, CA
• Providers in San Jose, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2013; 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.