John A. Mangin, D. M. D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS019549L Issued in PA

Practice address

995 Beaver Grade Rd
Moon Township, PA 15108-2766

Phone

(412) 262-3190

Fax

(412) 262-3966

NPI assigned

Jul 18, 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

Medicare fee-for-service enrollment

Enrolled in PA

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

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1114945904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "995 BEAVER GRADE RD",
            "city": "MOON TOWNSHIP",
            "state": "PA",
            "postal_code": "151082766",
            "telephone_number": "412-262-3190",
            "fax_number": "412-262-3966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "995 BEAVER GRADE RD",
            "city": "MOON TOWNSHIP",
            "state": "PA",
            "postal_code": "151082766",
            "telephone_number": "412-262-3190",
            "fax_number": "412-262-3966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANGIN",
        "first_name": "JOHN",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "D. M. D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS019549L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Kramer Lukowski, MA, LPC, NCC
• Chelsea Anne Lyle-Mallory, LPC
• Nicholas Adam Mahoney, M.D.
• Makayla Mai, DPT
• Susan Marie Mamula, B.S. PHARMD
• Brittney Richele March, PHARM.D
• Nicole Marinacci-Magee, LCSW
• Steven C Marks, DMD
• Daniel A Martin, DC
• Lisa L Mason, MPT

• General Practice Dentistry in Moon Township, PA
• Providers in Moon Township, PA by specialty
• General Practice Dentistry in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.