Organization Active NPI

Mankame, Dipak M., D.D.S., P.a.

  • Dentist
  • Plantation, FL
National Provider Identifier
1821427675
Registry record updated Nov 2, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
MANKAME, DIPAK M., D.D.S., P.A.
Practice address
300 N.W. 70TH Ave Suite 109
Plantation, FL 33317
Phone
(954) 791-1630
Fax
(954) 916-7781
NPI assigned
Nov 2, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2013

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

Authorized official

Name
Mr. Dipak Meghnath Mankame, D.D.S.
Title
Owner / Dentist
Phone
(954) 791-1630

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

300 N.W. 70TH Ave Suite 109
Plantation, FL 33317

Mailing address

300 N.W. 70TH Ave Suite 109
Plantation, FL 33317
Phone (954) 791-1630

National Provider Directory

National Provider Directory

Locations

300 NW 70th Ave
Ste 109
Plantation, FL 33317
Phone (954) 583-7267

NPI Registry JSON

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

{
    "created_epoch": "1383350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383350400000",
    "number": "1821427675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 N.W. 70TH AVE SUITE 109",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "33317",
            "telephone_number": "954-791-1630",
            "fax_number": "954-916-7781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 N.W. 70TH AVE SUITE 109",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "33317",
            "telephone_number": "954-791-1630",
            "fax_number": "954-916-7781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANKAME, DIPAK M., D.D.S., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-02",
        "last_updated": "2013-11-02",
        "status": "A",
        "authorized_official_last_name": "MANKAME",
        "authorized_official_first_name": "DIPAK",
        "authorized_official_middle_name": "MEGHNATH",
        "authorized_official_title_or_position": "OWNER / DENTIST",
        "authorized_official_telephone_number": "954-791-1630",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plantation, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2013; 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.