Chandra Mohan Manish, D.M.D

Primary specialty

DentistTaxonomy code 122300000X

License

DN1855134 Issued in MA

Practice address

235B Memorial Avenue
West Springfield, MA 01028-2780

Phone

(603) 738-6808

NPI assigned

Jun 2, 2009

Sex

Male

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Dental Wellness of Everett

  • General Practice Dentistry
  • Everett, MA
  • NPI 1356271936
  NPD Authorized official
• Dental Wellness of Lowell

  • Public Health Dentistry
  • Lowell, MA
  • NPI 1770384463
  NPD Authorized official
• Dental Wellness of Waltham

  • Public Health Dentistry
  • Waltham, MA
  • NPI 1972354918
  NPD Authorized official
• Riverside Dental LLC

  • General Practice Dentistry
  • West Springfield, MA
  • NPI 1689012361
  NPD (past) Authorized official

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

{
    "created_epoch": "1243900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1414022400000",
    "number": "1821224064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "235B MEMORIAL AVENUE",
            "city": "WEST SPRINGFIELD",
            "state": "MA",
            "postal_code": "010282780",
            "telephone_number": "603-738-6808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235B MEMORIAL AVENUE",
            "city": "WEST SPRINGFIELD",
            "state": "MA",
            "postal_code": "010282780",
            "telephone_number": "603-738-6808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANISH",
        "first_name": "CHANDRA MOHAN",
        "credential": "D.M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-02",
        "last_updated": "2014-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MA",
            "license": "DN1855134",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria Dubois Maloney, MSW LICSW
• Nicholas Mancinone, M.A. INTERN
• Bejon Temus Maneckshana, M.D.
• Thomas Patrick Mangan, OD
• Alaina N Mango, LCSW
• Linda Manjarrez, CNS
• Brittany L Manley
• Kaitlin Mann
• Leah Manning
• Michael Keith Manning Jr., BEHAVIOR ANALYST

• Dentist in West Springfield, MA
• Providers in West Springfield, MA by specialty
• Dentist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2014; 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.