Active NPI
Manali Tanna Madhavani, DMD
- Periodontics
- Northampton, MA
National Provider Identifier
1760058309
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- License
- DN10000534
- Practice address
- 241 King St Ste 120
Northampton, MA 01060-2341 - Phone
- (413) 584-2229
- NPI assigned
- Jun 3, 2021
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Periodontics | 1223P0300X | DN10000534 | MA | Primary |
Addresses
Primary practice location
241 King St Ste 120
Northampton, MA 01060-2341
Mailing address
241 King St Ste 120
Northampton, MA 01060-2341
Phone (413) 584-2229
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20251003002456 | MA | Order and Referring Only - Dentist | 5698271088 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN10000534 | MA | MD | Periodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1622678400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757980800000",
"number": "1760058309",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "241 KING ST STE 120",
"city": "NORTHAMPTON",
"state": "MA",
"postal_code": "010602341",
"telephone_number": "413-584-2229"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "241 KING ST STE 120",
"city": "NORTHAMPTON",
"state": "MA",
"postal_code": "010602341",
"telephone_number": "413-584-2229"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TANNA MADHAVANI",
"first_name": "MANALI",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-06-03",
"last_updated": "2025-09-16",
"certification_date": "2025-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "MA",
"license": "DN10000534",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Northampton, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2025; 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.