Active NPI
Cassidy Mangini, DDS
- Dentist
- Nolensville, TN
National Provider Identifier
1013802172
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 12746
- Practice address
- 197 Burkitt Commons Ave
Nolensville, TN 37135-2965 - Phone
- (615) 257-5699
- NPI assigned
- Jun 10, 2025
- Last updated
- Jun 10, 2025
- Sex
- Female
- Sole proprietor
- No
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 | 12746 | TN | Primary |
Addresses
Primary practice location
197 Burkitt Commons Ave
Nolensville, TN 37135-2965
Mailing address
1055 Pine St Apt 707
Nashville, TN 37203-4465
Phone (980) 242-6008
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250811002463 | TN | Order and Referring Only - Dentist | 5193223956 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12746 | TN | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nolensville Smiles Dentistry, PC | Current | Accepting new patients |
Networks
- MS PPO C-SNP
- MS PPO D-SNP
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Nolensville Smiles Dentistry
- General Practice Dentistry
- Nolensville, TN
- NPI 1528763448
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1749513600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1749513600000",
"number": "1013802172",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1055 PINE ST APT 707",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372034465",
"telephone_number": "980-242-6008"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "197 BURKITT COMMONS AVE",
"city": "NOLENSVILLE",
"state": "TN",
"postal_code": "371352965",
"telephone_number": "615-257-5699"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANGINI",
"first_name": "CASSIDY",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-06-10",
"last_updated": "2025-06-10",
"certification_date": "2025-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TN",
"license": "12746",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Nolensville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.