Robert William Mansman, II II, DDS

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

14165 Issued in MD

Practice address

7360 Guilford Drive, Suite #102
Pediatric Dental Center of Frederick
Frederick, MD 21704

Phone

(301) 668-2662

Fax

(301) 668-6130

NPI assigned

Sep 1, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Frederick Health Hospital Inc

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)
• Smile Frederick LLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Frederick, MD
  • NPI 1407294788
  NPD (past)

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

{
    "created_epoch": "1157068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323129600000",
    "number": "1124120191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7360 GUILFORD DRIVE, SUITE #102",
            "address_2": "PEDIATRIC DENTAL CENTER OF FREDERICK",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "21704",
            "telephone_number": "301-668-2662",
            "fax_number": "301-668-6130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7360 GUILFORD DRIVE, SUITE #102",
            "address_2": "PEDIATRIC DENTAL CENTER OF FREDERICK",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "21704",
            "telephone_number": "301-668-2662",
            "fax_number": "301-668-6130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANSMAN, II",
        "first_name": "ROBERT",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-01",
        "last_updated": "2011-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "VA",
            "license": "0401411486",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "MD",
            "license": "14165",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew Paul Mannick, DPT, ATC
• Robert Frank Mannis, PHD
• Soumya Mannoor Punnoose, PMHNP
• Paul Denis Manny, P.T.
• Patrick Johannes Mansky, M.D.
• Pamela Manstof, NP
• Niclette Mantez
• Anny Johanna Mantilla, LMT
• Politimi C Mantzouranis, DDS
• Manual Daniel Debarros

• Pediatric Dentistry in Frederick, MD
• Providers in Frederick, MD by specialty
• Pediatric Dentistry in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2011; 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.