MANOJ KUMAR DDS
NPI 1063149185
Dentist - Dental Public Health in Dalton, GA
About Manoj Kumar Dds NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MANOJ KUMAR DDS (NPI 1063149185) is an individual dental public health provider in Dalton, Georgia, licensed in Georgia (DN122770) and active in the NPI registry since August 2022. He is enrolled in Medicare PECOS and is a graduate of Other (2022).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Manoj Kumar Dds is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Manoj Kumar reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Dalton, GA 30721
- Reassigned Medicare billing, Georgia enrollment
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 30721 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 5
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Manoj Kumar's NPI number?
The NPI number for Manoj Kumar is 1063149185. It was assigned to this individual provider in the NPPES registry on August 8, 2022.
Where is Manoj Kumar located?
Manoj Kumar practices at 1100 E Walnut Ave, Dalton, GA 30721. The listed phone number is (706) 508-4222.
What is Manoj Kumar's specialty?
The primary specialty registered for this NPI is Dentist, specializing in Dental Public Health, with taxonomy code 1223D0001X.
Is Manoj Kumar enrolled in Medicare?
Yes. Manoj Kumar is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Manoj Kumar's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Manoj Kumar reassigns Medicare benefits to Ij Dental Smile LLC (Dalton, GA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Manoj Kumar's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Manoj Kumar accept?
Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Manoj Kumar as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Manoj Kumar was last updated on August 8, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Manoj Kumar, DDS · NPI 1063149185
Dental Public Health provider in Dalton, Georgia. Individual provider, active in the CMS NPPES registry since August 8, 2022.
## Identity
- **NPI:** 1063149185 (Entity type: Individual)
- **Enumerated:** August 8, 2022
- **Primary specialty:** Dentist - Dental Public Health · taxonomy 1223D0001X
- **State license:** DN122770 (Georgia)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1100 E WALNUT AVE, Dalton, GA 30721-4183
- **Phone:** (706) 508-4222
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** Ij Dental Smile LLC (NPI 1932036845, Dalton, GA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** August 8, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1063149185) · Data from the CMS NPPES public registry.