Manisha J Thakkar, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

35000 Issued in AZ

Practice address

604 W Warner Rd
C-1
Chandler, AZ 85225-2906

Phone

(480) 427-2630

Fax

(480) 427-2623

NPI assigned

Jul 26, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AZ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1368576000000",
    "number": "1992729644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "604 W WARNER RD",
            "address_2": "C-1",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852252906",
            "telephone_number": "480-427-2630",
            "fax_number": "480-427-2623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "604 W WARNER RD",
            "address_2": "C-1",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852252906",
            "telephone_number": "480-427-2630",
            "fax_number": "480-427-2623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THAKKAR",
        "first_name": "MANISHA",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-26",
        "last_updated": "2013-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "AZ",
            "license": "35000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "104997",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Darren Terry, O.D
• Lewis Tadd Terry, DC
• Mathias Tevendale, MD
• Cindy Thai, PHARMD
• Hitesh Thakar, RPH
• Nalini Thangaraju
• Jordan Tharp, D.C.
• Anna E Thatcher, PT
• Robert Thatcher, LDO
• The Addiction Recovery Evolution, LLC.

• Pediatrics Physician in Chandler, AZ
• Providers in Chandler, AZ by specialty
• Pediatrics Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2013; 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.