Manchester Dental Arts LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

MANCHESTER DENTAL ARTS LLC

Practice address

229 E Center St
Manchester, CT 06040-5207

Phone

(724) 261-1034

NPI assigned

Oct 18, 2021

Last updated

Oct 18, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Tushin Shah, DDSNPI 1649651670

Title

Dentist

Phone

(724) 261-1034

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Tushin Atulkumar Shah

  • Dentist
  • Manchester, CT
  • NPI 1649651670
  NPD Authorized official

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

{
    "created_epoch": "1634515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634515200000",
    "number": "1962165811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "764 SHAKER RD",
            "city": "LONGMEADOW",
            "state": "MA",
            "postal_code": "011062421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "229 E CENTER ST",
            "city": "MANCHESTER",
            "state": "CT",
            "postal_code": "060405207",
            "telephone_number": "724-261-1034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANCHESTER DENTAL ARTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-18",
        "last_updated": "2021-10-18",
        "certification_date": "2021-10-18",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "TUSHIN",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "724-261-1034",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Lynn Malto-Brown, MAOM , LICAC
• William J Malwitz
• Michelle Malz
• Faye F Mamaghani, D.M.D.
• Manchester CT SNF LLC (Crestfield Rehabilitation Center & Fenwood Manor)
• Manchester Family Dental LLC
• Manchester Health Center, Inc (Crestfield Rehabilitation & Fenwood Manor)
• Manchester Health Department
• Manchester Home Care LLC
• Manchester Manor SNF Operations LLC

• Dental Clinic/Center in Manchester, CT
• Providers in Manchester, CT by specialty
• Dental Clinic/Center in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2021; 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.