| NPI | 1033764527 |
|---|---|
| NPI Type | NPI-1 Individual |
| Status | Active |
| Enumeration Date | 2019-08-02 |
| Last Updated | 2022-12-07 |
| Mailing Address | Po Box 1978 Salisbury, MD 21802-1978 United States Phone: (410) 749-1015 | Fax: (410) 749-0654 📍 View Map |
| Primary Practice Address | 12165 Elm St Princess Anne, MD 21853-1358 United States Phone: (410) 651-5151 | Fax: (410) 651-4256 📍 View Map |
| Issuer | State | Number | Other Issuer |
|---|---|---|---|
| MEDICAID | MD | 119591300 | - |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| Yes | 1223G0001X – Dentist, General Practice | MD | 17039 |
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About NPI 1033764527
Reeves Varghese Manikat DMD is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1033764527. The primary specialty listed is Dentist, General Practice. The provider is located in Princess Anne, MD. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2019-08-02. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1033764527?
NPI 1033764527 belongs to Reeves Varghese Manikat DMD, a Dentist, General Practice in Princess Anne, MD. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.
Is NPI 1033764527 active?
The current status of NPI 1033764527 in the NPPES registry is Active. The record was last updated on 2022-12-07.
What specialty is NPI 1033764527?
NPI 1033764527 is classified under the taxonomy Dentist, General Practice. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1033764527?
You can verify NPI 1033764527 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1033764527?
The primary practice address on file for NPI 1033764527 is 12165 Elm St, Princess Anne, MD 21853-1358. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1033764527 issued?
NPI 1033764527 was first issued (enumerated) on 2019-08-02. The NPPES record was last updated on 2022-12-07.
Practice Location Map
Reeves Varghese Manikat is located at 12165 Elm St, Princess Anne, MD. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Reeves Varghese Manikat. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1033764527. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Dentist, General Practice | 17039 | MD |