Individual provider Active NPI

Steven Kent Mann, DMD

  • Pediatric Dentistry
  • Prosper, TX
National Provider Identifier
1043751779
Registry record updated Apr 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
2020021363 Issued in MO
Practice address
1180 N Preston Rd Ste 20
Prosper, TX 75078-9291
Phone
(801) 404-8296
NPI assigned
Mar 14, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 21, 2021

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 7077 NV
Pediatric Dentistry 1223P0221X 37075 TX
Student in an Organized Health Care Education/Training Program 390200000X
Pediatric DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0221X 2020021363 MO Primary

Addresses

Primary practice location

1180 N Preston Rd Ste 20
Prosper, TX 75078-9291

Mailing address

9018 N Skyview Ave
Kansas City, MO 64154-8501
Phone (801) 404-8296

Other practice location 1

9018 N Skyview Ave
Kansas City, MO 64154-8501
Phone (816) 741-5113

Other practice location 2

1703 Village West Pkwy Ste 108
Kansas City, KS 66111-1859
Phone (913) 800-8763

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
7077NVMDDentist
2020021363MOMDPediatric Dentist
37075TXMDPediatric Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Alex Sharifian, D.D.S., Tiffany Springs Dental Group, P.C. Multi-Specialty PastSince Aug 1, 2020 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.

NPI Registry JSON

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

{
    "created_epoch": "1489449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618963200000",
    "number": "1043751779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9018 N SKYVIEW AVE",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641548501",
            "telephone_number": "801-404-8296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1180 N PRESTON RD STE 20",
            "city": "PROSPER",
            "state": "TX",
            "postal_code": "750789291",
            "telephone_number": "801-404-8296"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9018 N Skyview Ave",
            "address_purpose": "LOCATION",
            "city": "Kansas City",
            "state": "MO",
            "postal_code": "641548501",
            "country_code": "US",
            "telephone_number": "816-741-5113",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1703 Village West Pkwy Ste 108",
            "address_purpose": "LOCATION",
            "city": "Kansas City",
            "state": "KS",
            "postal_code": "661111859",
            "country_code": "US",
            "telephone_number": "913-800-8763",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MANN",
        "first_name": "STEVEN",
        "middle_name": "KENT",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-03-14",
        "last_updated": "2021-04-21",
        "certification_date": "2021-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NV",
            "license": "7077",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "TX",
            "license": "37075",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "MO",
            "license": "2020021363",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Prosper, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.