Organization Active NPI

Mangat Plastic Surgery Center

  • Specialist
  • Edwards, CO
National Provider Identifier
1124290358
Registry record updated Mar 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
MANGAT PLASTIC SURGERY CENTER
Practice address
56 Edwards Village Blvd
Suite 226
Edwards, CO 81632
Phone
(970) 766-3223
Fax
(970) 766-3225
NPI assigned
Mar 27, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2008

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

Authorized official

Name
Dr. Devinder S. Mangat, MD
Title
Owner
Phone
(970) 766-3223

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X CO Primary

Addresses

Primary practice location

56 Edwards Village Blvd
Suite 226
Edwards, CO 81632

Mailing address

56 Edwards Village Blvd
Suite 226
Edwards, CO 81632-7802
Phone (970) 766-3223

National Provider Directory

National Provider Directory
Tax ID family
Mangat Plastic Surgery Center3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

56 Edwards Village Blvd
Unit 226
Edwards, CO 81632
Phone (513) 706-1110

NPI Registry JSON

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

{
    "created_epoch": "1206576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206576000000",
    "number": "1124290358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "56 EDWARDS VILLAGE BLVD",
            "address_2": "SUITE 226",
            "city": "EDWARDS",
            "state": "CO",
            "postal_code": "816327802",
            "telephone_number": "970-766-3223",
            "fax_number": "970-766-3225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "56 EDWARDS VILLAGE BLVD",
            "address_2": "SUITE 226",
            "city": "EDWARDS",
            "state": "CO",
            "postal_code": "81632",
            "telephone_number": "970-766-3223",
            "fax_number": "970-766-3225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANGAT PLASTIC SURGERY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-27",
        "last_updated": "2008-03-27",
        "status": "A",
        "authorized_official_last_name": "MANGAT",
        "authorized_official_first_name": "DEVINDER",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "970-766-3223",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edwards, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 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.