Individual provider Active NPI

Ranjeet Mann, DDS

  • General Practice Dentistry
  • Arnold, MO
National Provider Identifier
1154944254
Registry record updated May 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2020013545 Issued in MO
Practice address
1200 Big Bill Rd
Arnold, MO 63010-2117
Phone
(636) 287-0001
NPI assigned
May 22, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2020

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 2020013545 MO Primary

Addresses

Primary practice location

1200 Big Bill Rd
Arnold, MO 63010-2117

Mailing address

4100 Forest Park Ave Apt 225
Saint Louis, MO 63108-2889
Phone (925) 998-7214

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
2020013545MOMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Wojtyna DDS II LLC General Practice CurrentSince May 8, 2022 Accepting new patients
Wojtyna DDS LLC General Practice PastSince May 24, 2020 Accepting new patients

Locations

1200 Big Bill Rd
Arnold, MO 63010
Phone (636) 287-0001

Organizations & group practices 2

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": "1590105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590105600000",
    "number": "1154944254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4100 FOREST PARK AVE APT 225",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631082889",
            "telephone_number": "925-998-7214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 BIG BILL RD",
            "city": "ARNOLD",
            "state": "MO",
            "postal_code": "630102117",
            "telephone_number": "636-287-0001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANN",
        "first_name": "RANJEET",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-05-22",
        "last_updated": "2020-05-22",
        "certification_date": "2020-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MO",
            "license": "2020013545",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arnold, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2020; 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.