Active NPI
Manimanjari Mallempalli, DDS
- Dentist
- San Diego, CA
National Provider Identifier
1801922273
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 49586
- Practice address
- 9359 Miramesa Blvd
San Diego, CA 92126 - Phone
- (858) 549-8045
- Fax
- (858) 527-1572
- NPI assigned
- Feb 27, 2007
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Dentist | 122300000X | 49586 | CA | Primary |
Addresses
Primary practice location
9359 Miramesa Blvd
San Diego, CA 92126
Mailing address
9359 Mira Mesa Blvd
San Diego, CA 92126-4816
Phone (858) 549-8045
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
| License | State | Type | Specialty |
|---|---|---|---|
| 49586 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mallempalli DDS Inc | Dentist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Dentist
- San Diego, CA
- NPI 1295126258
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172534400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1428969600000",
"number": "1801922273",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9359 MIRA MESA BLVD",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921264816",
"telephone_number": "858-549-8045",
"fax_number": "858-527-1572"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9359 MIRAMESA BLVD",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "92126",
"telephone_number": "858-549-8045",
"fax_number": "858-527-1572"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MALLEMPALLI",
"first_name": "MANIMANJARI",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-27",
"last_updated": "2015-04-14",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "49586",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.