Manjeet Samra, DDS, PC

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

62202 Issued in CA

Legal business name

MANJEET SAMRA, DDS, PC

Practice address

1110 W Robinhood Dr
Stockton, CA 95207-5606

Phone

(209) 478-4666

NPI assigned

Mar 20, 2016

Organization subpart

No

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

Authorized official

Name

Manjeet SamraNPI 1316343775

Title

Owner

Phone

(209) 923-3013

Specialties & licenses 1

Addresses

Other names 1

• Samra Orthodontics Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Manjeet Singh Samra, DDS

  • Dentist
  • Stockton, CA
  • NPI 1316343775
  NPD (past) Authorized official
• Phillip Ha, DDS, MS

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Modesto, CA
  • NPI 1083388813
  NPD (past)

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

{
    "created_epoch": "1458432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724716800000",
    "number": "1952762882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1110 W ROBINHOOD DR",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952075606",
            "telephone_number": "209-478-4666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 W ROBINHOOD DR",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952075606",
            "telephone_number": "209-478-4666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANJEET SAMRA, DDS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-20",
        "last_updated": "2024-08-27",
        "certification_date": "2024-08-27",
        "status": "A",
        "authorized_official_last_name": "SAMRA",
        "authorized_official_first_name": "MANJEET",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "209-923-3013"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CA",
            "license": "62202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Samra Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jussein Rigor Mangondato, M.D.
• Linda Mangrum
• Natalie Mangrum, M.S. CCC-SLP
• Sampathkumar Mani, MD
• Shayne Lee M Maniti, SENIOR PSYCH TECH
• Baylee Rose Manly
• Amaninder Mann, RDH, B.S
• Bhupinderpreet Mann
• Charanjit S. Mann, MD
• Hershminder Dhanoa Mann, O.D.

• Orthodontics and Dentofacial Orthopedics Dentistry in Stockton, CA
• Providers in Stockton, CA by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2024; 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.