Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1831192251 Individual Practitioner Female Practitioner

Dr. Sasi Kala Mannem , DDS

Dentist - General Practice • Modesto, CA

Professional Overview & Biography Verified Profile Summary

Dr. Sasi Mannem, DDS is a registered healthcare professional specializing in Dentist - General Practice in Modesto, CA. Practice services are available at 2103 MCHENRY AVENUE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2103 Mchenry Avenue
Suite C

Modesto, CA 95350

Telephone 2094359550
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Modesto, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 1.0 Yrs
State Avg: 21.7 Yrs
Regional Practice Density
133 Specialists

Practicing in Modesto, CA (18734 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License CA 101387

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.

Dentist - General Practice

NUCC Taxonomy Code: 1223G0001X

State License TX 19578

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.

Secondary Practice Locations

3906 N Lamar Blvd, Ste 102

Austin, TX 787564000

Phone: 5124510101

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

4 Associated Practitioners
NPI 1073945226

Doctor of Dental Surgery

Dr. Victoria Rouse , DDS

Dentist - General Practice

NPI 1124803150

Doctor of Dental Surgery

Dr. Vijaylaxmi Sharma , DDS

Dentist - General Practice

NPI 1619711900

Doctor of Dental Surgery

NPI 1902729742

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

16 Historical Events
NPI Profile Active March 17, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location March 17, 2018

Registered at 2103 MCHENRY AVENUE, SUITE C, MODESTO, CA 95350 (Tel: (209) 435-9550)

📍
Updated Business Mailing Address March 17, 2018

Registered at 2103 MCHENRY AVENUE, SUITE C, MODESTO, CA 95350 (Tel: 2094359550)

👤
Provider Name / Credentials Updated March 17, 2018

Recorded as SASI MANNEM, D.D.S.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 17, 2018

Dentist (License #19578 in TX)

NPI Profile Active October 17, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location October 17, 2017

Registered at 2103 MCHENRY AVENUE, SUITE C, MODESTO, CA 95350 (Tel: (209) 435-9550)

📍
Updated Business Mailing Address October 17, 2017

Registered at 2103 MCHENRY AVENUE, SUITE C, MODESTO, CA 95350 (Tel: 2094359550)

👤
Provider Name / Credentials Updated October 17, 2017

Recorded as SASI MANNEM, D.D.S.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 17, 2017

Dentist (License #101387 in CA)

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 3906 N LAMAR BLVD, STE 102, AUSTIN, TX 787564000 (Tel: 5124510101)

📍
Updated Business Mailing Address July 08, 2007

Registered at 3906 N LAMAR BLVD, STE 102, AUSTIN, TX 787564000 (Tel: 5124510101)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as SASI MANNEM, D.D.S.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (License #19578 in TX)

🟢
Initial NPI Registration & Enumeration May 31, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1831192251
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 31, 2005
Last Update: July 21, 2022
Sole Proprietor: No

Mailing Address

2103 Mchenry Avenue, Suite C

Modesto, CA 95350

Phone: 2094359550

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.