NPIMap

Organization Active NPI

M.Welikala DMD., a Professional Corp

  • Dentist
  • Moorpark, CA
National Provider Identifier
1679604227
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
49243 Issued in CA
Legal business name
M.WELIKALA DMD., A PROFESSIONAL CORP
Practice address
55 W Los Angeles Ave
Moorpark, CA 93021-1820
Phone
(805) 523-3216
Fax
(805) 523-9630
NPI assigned
Mar 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Manohara Welikala, DMDNPI 1598799199
Title
Owner
Phone
(805) 523-3216

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
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 49243 CA Primary

Addresses

Primary practice location

55 W Los Angeles Ave
Moorpark, CA 93021-1820

Mailing address

55 W Los Angeles Ave
Moorpark, CA 93021-1820
Phone (805) 523-3216

Other names 1

  • Care Dental Office Doing business as

National Provider Directory

National Provider Directory

Locations

55 W Los Angeles Ave
Moorpark, CA 93021
Phone (805) 523-3216

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1679604227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 W LOS ANGELES AVE",
            "city": "MOORPARK",
            "state": "CA",
            "postal_code": "930211820",
            "telephone_number": "805-523-3216",
            "fax_number": "805-523-9630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 W LOS ANGELES AVE",
            "city": "MOORPARK",
            "state": "CA",
            "postal_code": "930211820",
            "telephone_number": "805-523-3216",
            "fax_number": "805-523-9630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M.WELIKALA DMD., A PROFESSIONAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WELIKALA",
        "authorized_official_first_name": "MANOHARA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "805-523-3216",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "49243",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Care Dental Office",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Moorpark, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.