Active NPI
Mohammad Nomani, D.D.S.
- Oral and Maxillofacial Surgery (Dentist)
- Manhattan, KS
National Provider Identifier
1699099465
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- License
- 60921
- Practice address
- 4201 Anderson Ave Ste E
Manhattan, KS 66503-7603 - Phone
- (785) 539-7429
- Fax
- (785) 539-5320
- NPI assigned
- Mar 22, 2010
- Last updated
- Jul 21, 2022
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | 60921 | KS | Primary |
Addresses
Primary practice location
4201 Anderson Ave Ste E
Manhattan, KS 66503-7603
Mailing address
4201 Anderson Ave
Ste E
Manhattan, KS 66503
Phone (785) 539-7429
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150428002142 | KS | Order and Referring Only - Maxillofacial Surgery | 8921321613 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 60921 | KS | MD | Oral and Maxillofacial Surgery (Dentist) |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Manhattan Oral Surgery & Implant Center | Past | Accepting new patients | |
| Konza Oral and Maxillofacial Surgery PA | Oral and Maxillofacial Surgery | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Oral and Maxillofacial Surgery Clinic/Center
- Manhattan, KS
- NPI 1043629264
-
- Oral and Maxillofacial Surgery (Dentist)
- Manhattan, KS
- NPI 1538220215
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1269216000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1699099465",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4201 ANDERSON AVE",
"address_2": "STE E",
"city": "MANHATTAN",
"state": "KS",
"postal_code": "66503",
"telephone_number": "785-539-7429",
"fax_number": "785-539-5320"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4201 ANDERSON AVE STE E",
"city": "MANHATTAN",
"state": "KS",
"postal_code": "665037603",
"telephone_number": "785-539-7429",
"fax_number": "785-539-5320"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NOMANI",
"first_name": "MOHAMMAD",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-03-22",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "1223S0112X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "KS",
"license": "60921",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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- Matthew Rand Nyswonger, R.PH.
- Colleen O'Connell, LSCSW
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.