Active NPI
Michael J Mand, D.D.S.
- Dentist
- Brooklyn, NY
National Provider Identifier
1003114976
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 034846
- Practice address
- 502 39TH St
Brooklyn, NY 11232-3083 - Phone
- (718) 435-3726
- Fax
- (718) 435-5855
- NPI assigned
- Mar 2, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 034846 | NY | Primary |
Addresses
Primary practice location
502 39TH St
Brooklyn, NY 11232-3083
Mailing address
502 39TH St
Brooklyn, NY 11232-3083
Phone (718) 435-3726
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 034846 | NY | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Stanley M. Mand, D. D. S., P. C. | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Dental Clinic/Center
- Brooklyn, NY
- NPI 1851418529
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1299024000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1454976000000",
"number": "1003114976",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "502 39TH ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112323083",
"telephone_number": "718-435-3726",
"fax_number": "718-435-5855"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "502 39TH ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112323083",
"telephone_number": "718-435-3726",
"fax_number": "718-435-5855"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAND",
"first_name": "MICHAEL",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-03-02",
"last_updated": "2016-02-09",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NY",
"license": "034846",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.