Stephen Francis Mann, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

37867 Issued in CA

Practice address

5308 Lake Murray Blvd
Suite B
La Mesa, CA 91942-1334

Phone

(619) 697-1021

Fax

(619) 697-1650

NPI assigned

Sep 22, 2010

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1285113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1285113600000",
    "number": "1033427117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5308 LAKE MURRAY BLVD",
            "address_2": "SUITE B",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919421334",
            "telephone_number": "619-697-1021",
            "fax_number": "619-697-1650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5308 LAKE MURRAY BLVD",
            "address_2": "SUITE B",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919421334",
            "telephone_number": "619-697-1021",
            "fax_number": "619-697-1650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANN",
        "first_name": "STEPHEN",
        "middle_name": "FRANCIS",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-09-22",
        "last_updated": "2010-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "37867",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mehran Mandegar, M.D.
• Kaitlin Elizabeth Carter Mandel, WHNP/CNM
• Kelly Ann Mangan, LAC
• Tanya Mangram
• Gabrielle Ann Andres Manlapid
• Manning Chiropractic Inc.
• John Andrew Manning, D.C.
• Aubrey Manns
• Mansour Mofidi, D.O.,Inc
• Mansour Mofidi, DO, Inc

• Dentist in La Mesa, CA
• Providers in La Mesa, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2010; 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.

Verify at the official NPI Registry.