Organization Active NPI

John T Mann

  • General Practice Dentistry
  • Florence, AL
National Provider Identifier
1164637732
Registry record updated Jul 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
4646 Issued in AL
Legal business name
JOHN T MANN
Practice address
2615 Darby Dr
Florence, AL 35630
Phone
(256) 766-3515
Fax
(866) 288-7201
NPI assigned
May 14, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2018

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

Authorized official

Name
John Thurman Mann, D.D.S.NPI 1427263631
Title
Dentist
Phone
(256) 766-3515

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 4646 AL Primary

Addresses

Primary practice location

2615 Darby Dr
Florence, AL 35630

Mailing address

2615 Darby Dr
Florence, AL 35630-1555
Phone (256) 766-3515

Other identifiers 1

IdentifierTypeStateIssuer
000033455MedicaidAL

National Provider Directory

National Provider Directory

Locations

2615 Darby Dr
Florence, AL 35630
Phone (256) 766-3515

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1532304000000",
    "number": "1164637732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2615 DARBY DR",
            "city": "FLORENCE",
            "state": "AL",
            "postal_code": "356301555",
            "telephone_number": "256-766-3515",
            "fax_number": "256-766-3506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2615 DARBY DR",
            "city": "FLORENCE",
            "state": "AL",
            "postal_code": "35630",
            "telephone_number": "256-766-3515",
            "fax_number": "866-288-7201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN T MANN",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-14",
        "last_updated": "2018-07-23",
        "status": "A",
        "authorized_official_last_name": "MANN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "THURMAN",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "256-766-3515",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "AL",
            "license": "4646",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000033455",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Florence, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2018; 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.