Individual provider Active NPI

Dipti U Maniar, DDS

  • Dentist
  • Port Jervis, NY
National Provider Identifier
1861721367
Registry record updated Dec 11, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
040482 Issued in NY
Practice address
141 Pike St
Port Jervis, NY 12771-1807
Phone
(845) 856-4002
Fax
(845) 858-1127
NPI assigned
Dec 11, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 11, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 040482 NY Primary

Addresses

Primary practice location

141 Pike St
Port Jervis, NY 12771-1807

Mailing address

141 Pike St
Port Jervis, NY 12771-1807
Phone (845) 856-4002

Other names 1

  • Mrs. Dipti U Maniar Other name

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
040482NYMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Sujatha H Desilva Past Accepting new patients
Sujatha H de Silva DDS PC Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1260489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1260489600000",
    "number": "1861721367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "141 PIKE ST",
            "city": "PORT JERVIS",
            "state": "NY",
            "postal_code": "127711807",
            "telephone_number": "845-856-4002",
            "fax_number": "845-858-1127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "141 PIKE ST",
            "city": "PORT JERVIS",
            "state": "NY",
            "postal_code": "127711807",
            "telephone_number": "845-856-4002",
            "fax_number": "845-858-1127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANIAR",
        "first_name": "DIPTI",
        "middle_name": "U",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-12-11",
        "last_updated": "2009-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "040482",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DIPTI",
            "last_name": "MANIAR",
            "middle_name": "U",
            "prefix": "MRS.",
            "credential": "DDS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Port Jervis, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 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.