Individual provider Active NPI

Manish Chopra, BDS, DMD, FADI

  • Prosthodontics
  • Wilmington, OH
National Provider Identifier
1710064175
Registry record updated May 17, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthodonticsTaxonomy code 1223P0700X
License
30-02-0148 Issued in OH
Practice address
110 E Locust St
Wilmington, OH 45177-2325
Phone
(937) 382-3008
Fax
(937) 382-7447
NPI assigned
Nov 1, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 17, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthodontics 1223P0700X 30-02-0148 OH Primary

Addresses

Primary practice location

110 E Locust St
Wilmington, OH 45177-2325

Mailing address

110 E Locust St
Wilmington, OH 45177-2325
Phone (937) 382-3008

Other identifiers 1

IdentifierTypeStateIssuer
2012584MedicaidOH

Other names 1

  • Dr. Manny Chopra Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190220001767 OH Practitioner - Oral Surgery 9537389580 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Manish Chopra DMD Inc. Prosthodontics CurrentSince Dec 3, 2018 Accepting new patients

Locations

2752 Erie Ave
Ste 1
Cincinnati, OH 45208
Phone (513) 533-4200

110 E Locust St
Wilmington, OH 45177
Phone (937) 382-3005

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1494979200000",
    "number": "1710064175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 E LOCUST ST",
            "city": "WILMINGTON",
            "state": "OH",
            "postal_code": "451772325",
            "telephone_number": "937-382-3008",
            "fax_number": "937-382-7447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 E LOCUST ST",
            "city": "WILMINGTON",
            "state": "OH",
            "postal_code": "451772325",
            "telephone_number": "937-382-3008",
            "fax_number": "937-382-7447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHOPRA",
        "first_name": "MANISH",
        "name_prefix": "Dr.",
        "credential": "BDS, DMD, FADI",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2017-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "OH",
            "license": "30-02-0148",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2012584",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MANNY",
            "last_name": "CHOPRA",
            "prefix": "DR.",
            "credential": "BDS, DMD, FADI",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Wilmington, OH

Sources for this page

Verify at the official NPI Registry.