Nimish Maniar, D.M.D

Primary specialty

DentistTaxonomy code 122300000X

License

DN22515 Issued in FL

Practice address

275 S Chickasaw TRL Ste 2
Orlando, FL 32825-3505

Phone

(407) 434-0243

NPI assigned

Apr 25, 2016

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in DC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Networks

• Freedom Health HMO Network

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Lake Mary Modern Dentistry, PA

  • Dentist
  • Lake Mary, FL
  • NPI 1053849646
  NPD (past)

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

{
    "created_epoch": "1461542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595894400000",
    "number": "1992150163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "470 SABAL WAY",
            "city": "WESTON",
            "state": "FL",
            "postal_code": "333263312",
            "telephone_number": "954-701-0871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 S CHICKASAW TRL STE 2",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328253505",
            "telephone_number": "407-434-0243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANIAR",
        "first_name": "NIMISH",
        "name_prefix": "Dr.",
        "credential": "D.M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-04-25",
        "last_updated": "2020-07-28",
        "certification_date": "2020-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN22515",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leyshka Mangual Rivera
• Viken A. Manguikian, O.D.
• Hailey Madison Mangum, APRN
• Lauren Colby Mangum, PHD, LAT, ATC
• Gigi Maniar, MD
• Suresh Kumar Manickavel, M.D.
• John Eugene Manigault, PHARMACIST
• Manik Healing Arts, LLC
• Erica Jaye Mankoff, M.S. CCC-SLP
• Courtney Leigh Mann, RCSWI

• Dentist in Orlando, FL
• Providers in Orlando, FL by specialty
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.