Organization Active NPI

Mankad Dental Associates PC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Philadelphia, PA
National Provider Identifier
1669649810
Registry record updated May 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
DS019431L Issued in PA
Legal business name
MANKAD DENTAL ASSOCIATES PC
Practice address
1420 Walnut Street
Suite #518
Philadelphia, PA 19102-4004
Phone
(215) 567-5949
Fax
(215) 567-1517
NPI assigned
May 15, 2008
Last updated
May 15, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2008

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

Authorized official

Name
Jay Vandna M Mankad
Title
Secretary-Manager
Phone
(215) 567-5949

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X DS019431L PA Primary

Addresses

Primary practice location

1420 Walnut Street
Suite #518
Philadelphia, PA 19102-4004

Mailing address

1420 Walnut Street
Suite #518
Philadelphia, PA 19102-4004
Phone (215) 567-5949

National Provider Directory

National Provider Directory

Locations

1420 Walnut St
Ste 518
Philadelphia, PA 19102
Phone (215) 567-5949

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": "1210809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210809600000",
    "number": "1669649810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1420 WALNUT STREET",
            "address_2": "SUITE #518",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191024004",
            "telephone_number": "215-567-5949",
            "fax_number": "215-567-1517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1420 WALNUT STREET",
            "address_2": "SUITE #518",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191024004",
            "telephone_number": "215-567-5949",
            "fax_number": "215-567-1517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANKAD DENTAL ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-15",
        "last_updated": "2008-05-15",
        "status": "A",
        "authorized_official_last_name": "MANKAD",
        "authorized_official_first_name": "JAY VANDNA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "SECRETARY-MANAGER",
        "authorized_official_telephone_number": "215-567-5949"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "PA",
            "license": "DS019431L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2008; 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.