Manharlal M. Mistry, DDS. Inc

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

28045 Issued in CA

Legal business name

MANHARLAL M. MISTRY, DDS. INC

Doing business as

Westport Dental

Practice address

420 S State College Blvd
Anaheim, CA 92806-4119

Phone

(714) 772-0770

Fax

(714) 772-7054

NPI assigned

Dec 29, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Manhar Mistry, DDS

Title

President

Phone

(714) 606-4908

Specialties & licenses 1

Addresses

Other names 1

• Westport Dental Doing business as

Locations

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

{
    "created_epoch": "1419811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1419811200000",
    "number": "1891183877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 S STATE COLLEGE BLVD",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928064119",
            "telephone_number": "714-772-0770",
            "fax_number": "714-772-7054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 S STATE COLLEGE BLVD",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928064119",
            "telephone_number": "714-772-0770",
            "fax_number": "714-772-7054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANHARLAL M. MISTRY, DDS. INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-29",
        "last_updated": "2014-12-29",
        "status": "A",
        "authorized_official_last_name": "MISTRY",
        "authorized_official_first_name": "MANHAR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-606-4908",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "28045",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Westport Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Morgan Mandigo, MD
• Mane MD
• Briana Maneggio
• Anjali Mangat, MD
• Mark Russell Mangold, D.C., QME
• Ajit S Maniam, M.D.
• Carl Jhon Manalo Manigo
• Conrado Villasenor Manimbo
• Maria Nelly Gangat Manimbo
• Depinder Mann, M.D.

• Dental Clinic/Center in Anaheim, CA
• Providers in Anaheim, CA by specialty
• Dental Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2014; 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.