NPIMap

Organization Active NPI

Manolis Thanasas DDS, PLC

  • General Practice Dentistry
  • Troy, MI
National Provider Identifier
1831429653
Registry record updated Dec 29, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2901017525 Issued in MI
Legal business name
MANOLIS THANASAS DDS, PLC
Practice address
4780 Rochester Rd
Troy, MI 48085-4929
Phone
(248) 689-9012
NPI assigned
Dec 29, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2009

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

Authorized official

Name
Dr. Manolis Thanasas, D.D.S.NPI 1558527812
Title
Owner
Phone
(734) 626-3211

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 2901017525 MI Primary

Addresses

Primary practice location

4780 Rochester Rd
Troy, MI 48085-4929

Mailing address

4780 Rochester Rd
Troy, MI 48085-4929
Phone (248) 689-9012

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1262044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1262044800000",
    "number": "1831429653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4780 ROCHESTER RD",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480854929",
            "telephone_number": "248-689-9012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4780 ROCHESTER RD",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480854929",
            "telephone_number": "248-689-9012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANOLIS THANASAS DDS, PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-29",
        "last_updated": "2009-12-29",
        "status": "A",
        "authorized_official_last_name": "THANASAS",
        "authorized_official_first_name": "MANOLIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "734-626-3211",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901017525",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Troy, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2009; 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.