Dental Wellness of Waltham

Primary specialty

Public Health DentistryTaxonomy code 1223D0001X

Legal business name

DENTAL WELLNESS OF WALTHAM

Doing business as

SMART PICK DENTAL

Practice address

475 Winter St
Waltham, MA 02451-1213

Phone

(603) 738-6808

NPI assigned

Mar 28, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Chandra Mohan Manish, DMDNPI 1821224064

Title

Owner

Phone

(603) 738-6808

Specialties & licenses 1

Addresses

Other names 1

• SMART PICK DENTAL Doing business as

Locations

Practitioners 1

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

• Chandra Mohan Manish, D.M.D

  • Dentist
  • West Springfield, MA
  • NPI 1821224064
  NPD Authorized official

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

{
    "created_epoch": "1711584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733184000000",
    "number": "1972354918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 WESCOTT DR",
            "city": "HOPKINTON",
            "state": "MA",
            "postal_code": "017481538",
            "telephone_number": "603-738-6808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "475 WINTER ST",
            "city": "WALTHAM",
            "state": "MA",
            "postal_code": "024511213",
            "telephone_number": "603-738-6808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL WELLNESS OF WALTHAM",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-28",
        "last_updated": "2024-12-03",
        "certification_date": "2024-12-03",
        "status": "A",
        "authorized_official_last_name": "MANISH",
        "authorized_official_first_name": "CHANDRA MOHAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "603-738-6808",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223D0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Dental Public Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SMART PICK DENTAL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Margaret Dellea, OT
• Luana Demenezes
• Danielle Marie Demoss, LICSW
• Diana Denning
• Marc Denofrio, LMHC
• David Albert Denton I, SW
• Dentonic
• Dentsply Ih Inc
• Shantille Marie Deriger, OTR/L
• Michele Dervartanian, LICSW

• Public Health Dentistry in Waltham, MA
• Providers in Waltham, MA by specialty
• Public Health Dentistry in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 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.