Organization Active NPI

Gursimran Manaise, PLLC

  • Dentist
  • Elmhurst, IL
National Provider Identifier
1801777404
Registry record updated Sep 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
GURSIMRAN MANAISE, PLLC
Practice address
386 N York St Ste 203
Elmhurst, IL 60126-2367
Phone
(630) 530-0770
NPI assigned
Sep 10, 2025
Last updated
Sep 10, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2025

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

Authorized official

Name
Gursimran Reen Manaise, DMD, MPH
Title
President
Phone
(330) 423-3528

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X NU Primary

Addresses

Primary practice location

386 N York St Ste 203
Elmhurst, IL 60126-2367

Mailing address

386 N York St Ste 203
Elmhurst, IL 60126-2367
Phone (630) 530-0770

National Provider Directory

National Provider Directory

Locations

386 N York St
Ste 203
Elmhurst, IL 60126
Phone (630) 530-0770

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1757462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757462400000",
    "number": "1801777404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "386 N YORK ST STE 203",
            "city": "ELMHURST",
            "state": "IL",
            "postal_code": "601262367",
            "telephone_number": "630-530-0770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "386 N YORK ST STE 203",
            "city": "ELMHURST",
            "state": "IL",
            "postal_code": "601262367",
            "telephone_number": "630-530-0770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GURSIMRAN MANAISE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-10",
        "last_updated": "2025-09-10",
        "certification_date": "2025-09-10",
        "status": "A",
        "authorized_official_last_name": "MANAISE",
        "authorized_official_first_name": "GURSIMRAN",
        "authorized_official_middle_name": "REEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "330-423-3528",
        "authorized_official_credential": "DMD, MPH"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elmhurst, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2025; 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.