Ashika Mandara

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS040957 Issued in PA

Practice address

1851 S Columbus Blvd Ste 1
Philadelphia, PA 19148-2800

Phone

(215) 755-2559

NPI assigned

May 16, 2016

Last updated

Aug 22, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1463356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471824000000",
    "number": "1780031203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 N CLARK ST STE 600",
            "address_2": "C/O KOS SERVICES",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606544782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1851 S COLUMBUS BLVD STE 1",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191482800",
            "telephone_number": "215-755-2559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANDARA",
        "first_name": "ASHIKA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-16",
        "last_updated": "2016-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS040957",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edna Mancilla, MD
• Deslyn Mancini, M.D.
• Olivia Mancini
• Blake Mancuso, PHARMD
• Sanat Kumar Mandal, M.D.
• Mehret Mandefro, MD
• Dale Mason Mandel, MD
• Daniel Mandel, DO
• Eli Ephraim Mandel, MSW, LSW
• Jeff E Mandel, MD

• General Practice Dentistry in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• General Practice Dentistry in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2016; 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.

Verify at the official NPI Registry.