Ryan Mancuso, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

062418 Issued in NY

Practice address

329 S Main St
Canandaigua, NY 14424-2118

Phone

(854) 716-7845

NPI assigned

Apr 5, 2021

Last updated

Jul 23, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1617580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658534400000",
    "number": "1164001509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2450 COUNTY ROAD 28 UNIT K3",
            "city": "CANANDAIGUA",
            "state": "NY",
            "postal_code": "144248185",
            "telephone_number": "716-581-2963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "329 S MAIN ST",
            "city": "CANANDAIGUA",
            "state": "NY",
            "postal_code": "144242118",
            "telephone_number": "854-716-7845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANCUSO",
        "first_name": "RYAN",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-04-05",
        "last_updated": "2022-07-23",
        "certification_date": "2022-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "062418",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cari J Malcolm, LCSW
• Joshua Eric Maldonado, LMHC
• Lynn Marie Maloney, CDN
• Andrea Beverly Manaco
• Gwendolyn Eilleen Mancuso, R.D., C.D.N.
• Melissa Mandurano, RN, NP-F
• Ashley Lynn Manning, NP-C
• Lucy Elizabeth Mannix
• Mary Lou Marasco, LMSW
• Pamela Anne Marini, MSRN FNP NPP

• Dentist in Canandaigua, NY
• Providers in Canandaigua, NY by specialty
• Dentist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2022; 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.