Organization Active NPI

Srijnani Manohar DMD Inc

  • Dental Clinic/Center
  • Lafayette, CA
National Provider Identifier
1710442348
Registry record updated Oct 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
SRIJNANI MANOHAR DMD INC
Practice address
895 Moraga Rd Ste 1
Lafayette, CA 94549-5046
Phone
(925) 283-5454
NPI assigned
Feb 7, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2023

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

Authorized official

Name
Dr. Srijanani Manohar, DMDNPI 1043689466
Title
Administrator
Phone
(707) 623-7477

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
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

895 Moraga Rd Ste 1
Lafayette, CA 94549-5046

Mailing address

895 Moraga Rd Ste 1
Lafayette, CA 94549-5046
Phone (925) 283-5454

National Provider Directory

National Provider Directory

Locations

895 Moraga Rd
Ste 1
Lafayette, CA 94549
Phone (925) 283-5454

317 Lennon Ln
Ste 100
Walnut Creek, CA 94598
Phone (925) 934-5420

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": "1549497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697673600000",
    "number": "1710442348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "895 MORAGA RD STE 1",
            "city": "LAFAYETTE",
            "state": "CA",
            "postal_code": "945495046",
            "telephone_number": "925-283-5454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "895 MORAGA RD STE 1",
            "city": "LAFAYETTE",
            "state": "CA",
            "postal_code": "945495046",
            "telephone_number": "925-283-5454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SRIJNANI MANOHAR DMD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-07",
        "last_updated": "2023-10-19",
        "certification_date": "2023-10-19",
        "status": "A",
        "authorized_official_last_name": "MANOHAR",
        "authorized_official_first_name": "SRIJANANI",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "707-623-7477",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2023; 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.