Active NPI
Manmohan S Devsi, D.D.S
- Dentist
- Wahpeton, ND
National Provider Identifier
1700097995
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- ND 1821
- Practice address
- 324 Dakota Ave
Wahpeton, ND 58075-4515 - Phone
- (701) 642-2644
- NPI assigned
- May 27, 2007
- Last updated
- Jul 8, 2007
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | ND 1821 | ND | Primary |
Addresses
Primary practice location
324 Dakota Ave
Wahpeton, ND 58075-4515
Mailing address
324 Dakota Ave
Wahpeton, ND 58075-4515
Phone (701) 642-2644
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 41127 | Medicaid | ND |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180224000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1700097995",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "324 DAKOTA AVE",
"city": "WAHPETON",
"state": "ND",
"postal_code": "580754515",
"telephone_number": "701-642-2644"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "324 DAKOTA AVE",
"city": "WAHPETON",
"state": "ND",
"postal_code": "580754515",
"telephone_number": "701-642-2644"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEVSI",
"first_name": "MANMOHAN",
"middle_name": "S",
"name_prefix": "Dr.",
"credential": "D.D.S",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-27",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "ND",
"license": "ND 1821",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "41127",
"state": "ND"
}
],
"endpoints": [],
"other_names": []
}Other providers in Wahpeton, ND
- Dakota Clinic LTD Wahpeton
- Dakota Clinic, LTD. (Dakota Clinic, LTD Wahpeton)
- Dakota Clinic, LTD. (Dakota Clinic, Ltd. - Wahpeton)
- Dakota Smiles PLLC (Three Rivers Dental)
- Lindsay Dassenko
- Kaitlyn Diegel
- Robb Quincy Dohman, D.C.
- Tristin Rae Dutton, APRN, CNP
- Anthony Charles Eggiman, DPT
- Ryan A Ehrmantraut, PT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.