Jon Gregory Mann, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

7853 Issued in CO

Practice address

201 Mercado St
Durango, CO 81301-7301

Phone

(970) 259-1646

Fax

(970) 259-1660

NPI assigned

Oct 4, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CO

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

Practice roles

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.

• Durango Dentistry PLLC

  • Dental Clinic/Center
  • Durango, CO
  • NPI 1548843824
  NPD (past)

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1393286400000",
    "number": "1073608956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "573 FLORIDA MEADOWS LN",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "813036646",
            "telephone_number": "970-259-5909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 MERCADO ST",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "813017301",
            "telephone_number": "970-259-1646",
            "fax_number": "970-259-1660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANN",
        "first_name": "JON",
        "middle_name": "GREGORY",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-04",
        "last_updated": "2014-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "7853",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE #",
            "identifier": "7853",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Paige Rebecca Mallette, M.D.
• Bill Malopolski, D.C.
• Talia Ann Manahan, M.S, CCC-SLP
• Jennifer Lizabeth Manganello, NP
• Jeanne Elizabeth Mann, LSW
• Cynthia A Manninen, D.O.
• Morgan James Manulik, PA-C
• Elizabeth Marino, LPC
• Mark Dickmann, MSW, LCSW, LLC
• Mark H. Kircher, MD PC

• General Practice Dentistry in Durango, CO
• Providers in Durango, CO by specialty
• General Practice Dentistry in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2014; 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.