Chelsea Maniscalco, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

6407 Issued in AL

Practice address

2901 Central Ave
Birmingham, AL 35209-2505

Phone

(205) 870-1363

NPI assigned

Jun 13, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Chelsea Ashworth Former name

Medicare fee-for-service enrollment

Enrolled in AL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Cahaba Medical Care Foundation

  • Federally Qualified Health Center (FQHC)
  • Centreville, AL
  • NPI 1316201809
  Medicare reassignment NPD
• Central Avenue Dentistry LLC

  • Dental Clinic/Center
  • Birmingham, AL
  • NPI 1407504186
  NPD Authorized official
• Cahaba Medical Care Foundation

  • Federally Qualified Health Center (FQHC)
  • Centreville, AL
  • NPI 1316542624
  NPD
• Central Dentistry, PC

  • General Practice Dentistry
  • Homewood, AL
  • NPI 1346337557
  NPD (past)

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

{
    "created_epoch": "1497312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648425600000",
    "number": "1851821961",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2901 CENTRAL AVE",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352092505",
            "telephone_number": "205-870-1363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2901 CENTRAL AVE",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352092505",
            "telephone_number": "205-870-1363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANISCALCO",
        "first_name": "CHELSEA",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-13",
        "last_updated": "2022-03-28",
        "certification_date": "2022-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AL",
            "license": "6407",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHELSEA",
            "last_name": "ASHWORTH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kristin Elder Maner, LPC
• Lorijean Nichole Maney, CRNP
• Katherine Mange
• Lisa M Mani, M.D.
• Maniscalco Oral and Facial Surgery LLC
• Lee Michael Maniscalco, M.D.
• Michael Maniscalco, DMD
• Nathan Ronald Manley
• Beth D. Mann, LPC
• Briana Olivia Mann, RN

• Dentist in Birmingham, AL
• Providers in Birmingham, AL by specialty
• Dentist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.