DR. NISHA MANIAR KANCHERLA (NPI# 1699104927) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699104927 |
| Entity Type | Individual |
| Full Name | DR. NISHA MANIAR KANCHERLA |
| Other Name | NISHA BHARAT MANIAR |
| Credential | DMD |
| Practice Address |
300 W Wieuca Rd Ne Suite 100 Atlanta GA 30342-9701 |
| Mailing Address |
1400 W Peachtree St Nw Unit 1504 Atlanta GA 30309-2984 |
| Practice Telephone | 4043031200 |
| Enumeration Date | 2013-11-07 |
| Last Update Date | 2019-12-11 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0300X |
Dentist Specialization: Periodontics |
DN015970 | GA | Dental Providers |
| N | 1223P0300X |
Dentist Specialization: Periodontics |
DS039792 | PA | Dental Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2406 N Broad St, Colmar, PA 189159701 | 2162241780 |
| Street Address |
300 W WIEUCA RD NE SUITE 100 |
| City | ATLANTA |
| State | GA |
| Zip Code | 30342-9701 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144820614 | Nia Charnice Griffin | Nurse Practitioner | 5670 Peachtree Dunwoodyroad, Suite 900, Atlanta, GA 30342 | 2020-10-26 |
| 1255945184 | Jennifer Lynne Cole | Behavior Technician | 5555 Glenridge Con Suite 200, Atlanta, GA 30342 | 2020-09-08 |
| 1093336232 | Van Tran | Respiratory Therapist, Registered | 1000 Johnson Ferry Rd Ne, Atlanta, Ga 30342, Atlanta, GA 30342 | 2020-04-28 |
| 1356978340 | Twyla Douglas Jackson I | Clinical Nutrition, 1000 Johnson Ferry Rd Ne, Atlanta, GA 30342 | 2020-03-27 | |
| 1760013411 | Emily Hamm | Dietitian, Registered | 933 D Johnson Ferry Road, Suite 250, Atlanta, GA 30342 | 2020-01-31 |
| 1043855984 | Mackenzie Tucker Wayda | Registered Nurse | 1001 Johnson Ferry Rd. Ne, Atlanta, GA 30342 | 2019-11-14 |
| 1386288454 | Tiauna Lashun Cochman | Psychologist | 1307 Glenridge Dr, Sandy Springs, GA 30342 | 2019-11-01 |
| 1164074399 | Stephen J. White | Hearing Instrument Specialist | 5775 Peachtree Dunwoody Rd Suite 600 Fl. 6, Uhc Hearing, Atl., GA 30342 | 2019-07-09 |
| 1144788142 | Jaytyn LLC | Internal Medicine | 4600 Broswell Road, Atlanta, GA 30342 | 2019-03-08 |
| 1760954705 | Mishele Walker LLC | Counselor | 555 Glenridge Connector, Suite 200, Sandy Springs, GA 30342 | 2018-12-31 |
| Find all providers in zip 30342 | ||||
| Taxonomy Code | 1223P0300X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Periodontics |
| That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073972584 | Kara Kramer | Dentist | 2970 Peachtree Rd Nw Ste 622, Atlanta, GA 30305-2115 | 2016-02-12 |
| 1306273172 | Gerrit Charles Hagman | Dentist | 6190 Rivercliffe Dr, Atlanta, GA 30328-3711 | 2013-10-10 |
| 1306188156 | Brock J Pumphrey I | Dentist | 999 Peachtree St Ne Ste 710, Atlanta, GA 30309-3964 | 2013-03-20 |
| 1760732697 | Maria Andreina Izarra | Dentist | 199 14th St Ne, #2205, Atlanta, GA 30309-3643 | 2012-09-18 |
| 1538370143 | Abe Shuster | Dentist | 999 Peachtree St, Suite 710, Atlanta, GA 30309-3915 | 2007-05-25 |
| 1962628776 | Frank P. Benson | Dentist | 6105 Peachtree Dunwoody Rd., Building C Suite 245, Atlanta, GA 30328 | 2007-04-18 |
| 1245351089 | Aubrey Scher | Dentist | 3648 Chamblee Tucker Rd, Atlanta, GA 30341-4403 | 2007-04-02 |
| 1386763464 | Mark Thomas Litterer | Dentist | 3648 Chamblee Tucker Rd Ste B, Atlanta, GA 30341-4403 | 2007-03-28 |
| 1326176991 | Piedmont Periodontics | Dentist | 222 12th Street, Suite 1b, Atlanta, GA 30309-5044 | 2007-03-02 |
| 1659409878 | William Benjamin Zinney | Dentist | 3280 Northside Pkwy Nw, # 301, Atlanta, GA 30327-2253 | 2007-03-01 |
| Find all providers in ATLANTA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.