Active NPI
Steven Kent Mann, DMD
- Pediatric Dentistry
- Prosper, TX
National Provider Identifier
1043751779
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 2020021363
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 7077 | NV | |
| Pediatric Dentistry | 1223P0221X | 37075 | TX | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Pediatric Dentistry | 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
| License | State | Type | Specialty |
|---|---|---|---|
| 7077 | NV | MD | Dentist |
| 2020021363 | MO | MD | Pediatric Dentist |
| 37075 | TX | MD | Pediatric Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alex Sharifian, D.D.S., Tiffany Springs Dental Group, P.C. | Multi-Specialty | 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.
-
dba Tiffany Springs Dental Group
- General Practice Dentistry
- Kansas City, MO
- NPI 1851642508
Multi-Specialty
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.