Archana Mani, DMD

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

9507 Issued in CO

Practice address

1021 Bandana Blvd E Ste 121
Saint Paul, MN 55108

Phone

(651) 224-4969

Fax

(651) 223-8047

NPI assigned

Aug 8, 2007

Last updated

Nov 4, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Perfect Teeth - South 8TH Street P.C.

  • General Practice Dentistry
  • Colorado Springs, CO
  • NPI 1811018211
  NPD (past)

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

{
    "created_epoch": "1186531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572825600000",
    "number": "1700077344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1021 BANDANA BLVD E STE 121",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551085128",
            "telephone_number": "651-224-4969",
            "fax_number": "651-223-8047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1021 BANDANA BLVD E STE 121",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "55108",
            "telephone_number": "651-224-4969",
            "fax_number": "651-223-8047"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1021 Bandana Blvd E Ste 121",
            "address_purpose": "LOCATION",
            "city": "Saint Paul",
            "state": "MN",
            "postal_code": "55108",
            "country_code": "US",
            "telephone_number": "651-224-4969",
            "fax_number": "651-223-8047",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MANI",
        "first_name": "ARCHANA",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-08",
        "last_updated": "2019-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "MN",
            "license": "S43",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CO",
            "license": "9507",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lrussell@mpda-mn.com",
            "affiliation": "N",
            "address_1": "1021 Bandana Blvd E Ste 121",
            "city": "Saint Paul",
            "state": "MN",
            "country_code": "US",
            "postal_code": "55108",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Yosef Assefa Mamo
• David Gerard Mancini, D.C.
• Julie Manco, NP
• Grace Kelly Mandel
• Shandy Mangra
• Kelsey Maniaci
• Garrett Nathan Manion, MD
• Aroun Manivanh
• Sindhu Manivannan, MD
• Richard L Manka, MD

• Pediatric Dentistry in Saint Paul, MN
• Providers in Saint Paul, MN by specialty
• Pediatric Dentistry in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2019; 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.