Organization Active NPI

Monterey Dental Center

  • Dentist
  • Monterey, TN
National Provider Identifier
1659694453
Registry record updated Mar 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
8741 Issued in TN
Legal business name
MONTEREY DENTAL CENTER
Practice address
400 W Crawford Ave
Ste C
Monterey, TN 38574-1166
Phone
(931) 839-8684
Fax
(931) 839-3299
NPI assigned
Mar 8, 2010
Last updated
Mar 8, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2010

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

Authorized official

Name
Dr. Manish Rana, D.D.SNPI 1164606356
Title
Owner
Phone
(931) 839-8684

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 8741 TN Primary

Addresses

Primary practice location

400 W Crawford Ave
Ste C
Monterey, TN 38574-1166

Mailing address

400 W Crawford Ave Ste C
Monterey, TN 38574-1166

Other identifiers 1

IdentifierTypeStateIssuer
1502689MedicaidTN

National Provider Directory

National Provider Directory

Locations

400 W Crawford Ave
Ste C
Monterey, TN 38574
Phone (931) 839-2224

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1268006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268006400000",
    "number": "1659694453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 W CRAWFORD AVE STE C",
            "city": "MONTEREY",
            "state": "TN",
            "postal_code": "385741166",
            "fax_number": "931-839-3299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 W CRAWFORD AVE",
            "address_2": "STE C",
            "city": "MONTEREY",
            "state": "TN",
            "postal_code": "385741166",
            "telephone_number": "931-839-8684",
            "fax_number": "931-839-3299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONTEREY DENTAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-08",
        "last_updated": "2010-03-08",
        "status": "A",
        "authorized_official_last_name": "RANA",
        "authorized_official_first_name": "MANISH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "931-839-8684",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TN",
            "license": "8741",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1502689",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Monterey, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2010; 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.