Active NPI
Shivani Sikiu Prashad Mann, DMD
- General Practice Dentistry
- Melbourne, FL
National Provider Identifier
1902792609
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 30521
- Practice address
- 6455 N Wickham Rd Ste 103
Melbourne, FL 32940-2020 - Phone
- (321) 420-4142
- NPI assigned
- Jun 17, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 30521 | FL | Primary |
Addresses
Primary practice location
6455 N Wickham Rd Ste 103
Melbourne, FL 32940-2020
Mailing address
6253 Indian Forest Cir
Lake Worth, FL 33463-8213
Phone (561) 542-0825
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
| License | State | Type | Specialty |
|---|---|---|---|
| 30521 | FL | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dentists of Melbourne, PA | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1750118400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1750118400000",
"number": "1902792609",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6253 INDIAN FOREST CIR",
"city": "LAKE WORTH",
"state": "FL",
"postal_code": "334638213",
"telephone_number": "561-542-0825"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6455 N WICKHAM RD STE 103",
"city": "MELBOURNE",
"state": "FL",
"postal_code": "329402020",
"telephone_number": "321-420-4142"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANN",
"first_name": "SHIVANI",
"middle_name": "SIKIU PRASHAD",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-06-17",
"last_updated": "2025-06-17",
"certification_date": "2025-06-04",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "FL",
"license": "30521",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Melbourne, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.