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DR. MANISHA V DESAI DMD NPI 1184850661


NPI Information

NPI: 1184850661
Provider Name: DR. MANISHA V DESAI, DMD
Classification: Dentist - 1223G0001X
Entity Type: Individual

Specialization: General Practice

PECOS Registration: Yes

Address:
5 N ROOT ST
SUITE #105
AURORA, IL
ZIP 60505
Phone: (630) 800-1137
Get Directions

DR. Manisha V Desai, DMD is a general practice dentist in Aurora, IL. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. DR. Manisha V Desai, DMD NPI is 1184850661. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

5 N ROOT ST
SUITE #105
AURORA, IL
ZIP 60505-429
Phone: (630) 800-1137
Fax: (630) 800-1672

The NPI 1184850661 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 6/10/2009 and was last updated on 12/20/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223E0200XDentistEndodontics019.027969ILLINOISNo
21223G0001XDentistGeneral Practice019.027969ILLINOISYes
31223P0300XDentistPeriodontics019.027969ILLINOISNo
41223P0700XDentistProsthodontics019.027969ILLINOISNo
51223X0400XDentistOrthodontics and Dentofacial Orthopedics019.027969ILLINOISNo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11184850661MEDICAIDILLINOIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.