Individual provider Active NPI

Sahil Manhas, DDS

  • Dentist
  • Ann Arbor, MI
National Provider Identifier
1720574486
Registry record updated Dec 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
2901022648 Issued in MI
Practice address
2365 S Huron Pkwy
Ann Arbor, MI 48104-5156
Phone
(734) 677-8700
Fax
(734) 839-4137
NPI assigned
Jul 5, 2018
Last updated
Dec 9, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 9, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 2901022648 MI Primary

Addresses

Primary practice location

2365 S Huron Pkwy
Ann Arbor, MI 48104-5156

Mailing address

2900 Golfside Rd Suite 6
Ann Arbor, MI 48108-1639
Phone (734) 677-8700

Other practice location 1

1011 N University Ave
Ann Arbor, MI 48109-1078
Phone (734) 763-6933

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2901022648MIMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Kennedy Marzonie Gray & Associates PLLC Dentist CurrentSince Dec 13, 2020 Accepting new patients
Apnea Alternatives Dentist PastSince Dec 13, 2020 Accepting new patients

Locations

2365 S Huron Pkwy
Ann Arbor, MI 48104
Phone (734) 677-1810

2900 Golfside Dr
Ste 6
Ann Arbor, MI 48108
Phone (734) 221-5696

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.

NPI Registry JSON

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

{
    "created_epoch": "1530748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607472000000",
    "number": "1720574486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 GOLFSIDE RD SUITE 6",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481081639",
            "telephone_number": "734-677-8700",
            "fax_number": "734-839-4137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2365 S HURON PKWY",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481045156",
            "telephone_number": "734-677-8700",
            "fax_number": "734-839-4137"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1011 N University Ave",
            "address_purpose": "LOCATION",
            "city": "Ann Arbor",
            "state": "MI",
            "postal_code": "481091078",
            "country_code": "US",
            "telephone_number": "734-763-6933",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MANHAS",
        "first_name": "SAHIL",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-07-05",
        "last_updated": "2020-12-09",
        "certification_date": "2020-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901022648",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ann Arbor, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2020; 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.