Individual provider Active NPI

Ronrico Arcangel Mangapit, D.M.D., P.C.

  • General Practice Dentistry
  • Las Vegas, NV
National Provider Identifier
1093813115
Registry record updated Oct 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
4156 Issued in NV
Practice address
210 S Maryland Parkway
Suite a Parkway Dental
Las Vegas, NV 89101-5319
Phone
(702) 384-3461
Fax
(702) 384-2377
NPI assigned
Sep 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 4156 NV Primary

Addresses

Primary practice location

210 S Maryland Parkway
Suite a Parkway Dental
Las Vegas, NV 89101-5319

Mailing address

210 S Maryland Pkwy
Suite a Parkway Dental
Las Vegas, NV 89101-5319
Phone (702) 384-3461

Other identifiers 1

IdentifierTypeStateIssuer
100510354MedicaidNV

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
4156NVMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Parkway Dental General Practice 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.

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1224115200000",
    "number": "1093813115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 S MARYLAND PKWY",
            "address_2": "SUITE A PARKWAY DENTAL",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891015319",
            "telephone_number": "702-384-3461",
            "fax_number": "702-384-2377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 S MARYLAND PARKWAY",
            "address_2": "SUITE A PARKWAY DENTAL",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891015319",
            "telephone_number": "702-384-3461",
            "fax_number": "702-384-2377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANGAPIT",
        "first_name": "RONRICO",
        "middle_name": "ARCANGEL",
        "name_prefix": "Mr.",
        "credential": "D.M.D., P.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2008-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NV",
            "license": "4156",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100510354",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2008; 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.