Individual provider Active NPI

Manasi Bharat Bhave

  • Dentist
  • Carmel, IN
National Provider Identifier
1841956208
Registry record updated Nov 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
12013713A Issued in IN
Practice address
14075 Magic Stallion Dr
Carmel, IN 46032-9027
Phone
(409) 504-4630
NPI assigned
Nov 10, 2021
Last updated
Nov 10, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 12013713A IN Primary

Addresses

Primary practice location

14075 Magic Stallion Dr
Carmel, IN 46032-9027

Mailing address

14075 Magic Stallion Dr
Carmel, IN 46032-9027
Phone (409) 504-4630

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

LicenseStateTypeSpecialty
12013713AINMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1636502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636502400000",
    "number": "1841956208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14075 MAGIC STALLION DR",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460329027",
            "telephone_number": "409-504-4630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14075 MAGIC STALLION DR",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460329027",
            "telephone_number": "409-504-4630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BHAVE",
        "first_name": "MANASI",
        "middle_name": "BHARAT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-10",
        "last_updated": "2021-11-10",
        "certification_date": "2021-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IN",
            "license": "12013713A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carmel, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2021; 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.