Individual provider Active NPI

Bobby Mann, D.D.S.

  • Dentist
  • Hyattsville, MD
National Provider Identifier
1184077786
Registry record updated Jan 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
16076 Issued in MD
Practice address
3600 E West Hwy Ste 400
Hyattsville, MD 20782-2014
Phone
(301) 454-3000
NPI assigned
Jul 19, 2016
Last updated
Jan 12, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 16076 MD Primary

Addresses

Primary practice location

3600 E West Hwy Ste 400
Hyattsville, MD 20782-2014

Mailing address

3600 E West Hwy Ste 400
Hyattsville, MD 20782-2014

Other practice location 1

13097 Wisteria Dr Ste 101
Germantown, MD 20874-2624
Phone (301) 540-2444

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180417001666 MD Order and Referring Only - DentistPractitioner - Dentist 8921361387

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
16076MDMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
R3 Dental Group LLC PastSince Feb 4, 2024 Accepting new patients
Aspen Hill Modern Dentistry, LLC PastSince Oct 1, 2022 Accepting new patients
Smilesrusat Security Blvd PastSince Jan 1, 2022 Accepting new patients
Family Dental Group of Germantown Dentist PastSince Feb 4, 2024 Accepting new patients

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1468886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768176000000",
    "number": "1184077786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3600 E WEST HWY STE 400",
            "city": "HYATTSVILLE",
            "state": "MD",
            "postal_code": "207822014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 E WEST HWY STE 400",
            "city": "HYATTSVILLE",
            "state": "MD",
            "postal_code": "207822014",
            "telephone_number": "301-454-3000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13097 Wisteria Dr Ste 101",
            "address_purpose": "LOCATION",
            "city": "Germantown",
            "state": "MD",
            "postal_code": "208742624",
            "country_code": "US",
            "telephone_number": "301-540-2444",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MANN",
        "first_name": "BOBBY",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-07-19",
        "last_updated": "2026-01-12",
        "certification_date": "2026-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MD",
            "license": "16076",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hyattsville, MD

Sources for this page

Verify at the official NPI Registry.