Active NPI
Kush Mangal, DMD
- General Practice Dentistry
- Salisbury, MD
National Provider Identifier
1154837607
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 16671
- Practice address
- 406 N Fruitland Blvd
Salisbury, MD 21801-7261 - Phone
- (410) 845-2956
- NPI assigned
- Dec 20, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 16671 | MD | Primary |
Addresses
Primary practice location
406 N Fruitland Blvd
Salisbury, MD 21801-7261
Mailing address
2 Revere CT
Princeton Junction, NJ 08550-2160
Phone (609) 799-5996
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
| License | State | Type | Specialty |
|---|---|---|---|
| 16671 | MD | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1513728000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1513728000000",
"number": "1154837607",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2 REVERE CT",
"city": "PRINCETON JUNCTION",
"state": "NJ",
"postal_code": "085502160",
"telephone_number": "609-799-5996"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "406 N FRUITLAND BLVD",
"city": "SALISBURY",
"state": "MD",
"postal_code": "218017261",
"telephone_number": "410-845-2956"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANGAL",
"first_name": "KUSH",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-12-20",
"last_updated": "2017-12-20",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "MD",
"license": "16671",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Salisbury, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.