Davinder S. Manak DDS. Incorporation

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

41310 Issued in CA

Legal business name

DAVINDER S. MANAK DDS. INCORPORATION

Practice address

1334 S Center St
Stockton, CA 95206-1331

Phone

(209) 460-1223

Fax

(209) 460-1370

NPI assigned

Apr 11, 2007

Organization subpart

No

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

Authorized official

Name

Davinder Singh Manak, DDSNPI 1285732396

Title

Officer

Phone

(209) 460-1223

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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.

• Davinder S Manak, DDS

  • Dentist
  • Stockton, CA
  • NPI 1285732396
  NPD (past) Authorized official

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

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1841414067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1334 S CENTER ST",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952061331",
            "telephone_number": "209-460-1223",
            "fax_number": "209-460-1370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1334 S CENTER ST",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952061331",
            "telephone_number": "209-460-1223",
            "fax_number": "209-460-1370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVINDER S. MANAK DDS. INCORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MANAK",
        "authorized_official_first_name": "DAVINDER",
        "authorized_official_middle_name": "SINGH",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "209-460-1223",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "41310",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTICAL PROVIDE",
            "identifier": "G92783-01",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• David Loth (Park Woods Pharmacy)
• David W Davidson
• Pamela Marie Davidson
• Jillian Davies
• Mitchell Samuel Davies
• Catherine Davis, NP
• Dinah Lee Davis
• Emalia Davis, HIS
• Eugenia L Davis
• Guy George Davis, DDS

• General Practice Dentistry in Stockton, CA
• Providers in Stockton, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.