NPIMap

Individual provider Active NPI

Ryan S. Mankiewicz, DDS

  • General Practice Dentistry
  • Pasadena, MD
National Provider Identifier
1205067360
Registry record updated Jan 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
14599 Issued in MD
Practice address
8055 Ritchie Hwy Ste 102
Pasadena, MD 21122-1074
Phone
(410) 590-6690
Fax
(410) 590-1693
NPI assigned
Aug 6, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2013

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 14599 MD Primary

Addresses

Primary practice location

8055 Ritchie Hwy Ste 102
Pasadena, MD 21122-1074

Mailing address

730 Howards Loop
Annapolis, MD 21401-8740
Phone (410) 533-8010

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
14599MDMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
DRS. Grimm and Sawyer, Family Dental Practice, LLC Past Accepting new patients
Ulery Dental and Orthodontics PastSince Feb 7, 2021 Accepting new patients

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": "1249516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1357689600000",
    "number": "1205067360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "730 HOWARDS LOOP",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214018740",
            "telephone_number": "410-533-8010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8055 RITCHIE HWY STE 102",
            "city": "PASADENA",
            "state": "MD",
            "postal_code": "211221074",
            "telephone_number": "410-590-6690",
            "fax_number": "410-590-1693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANKIEWICZ",
        "first_name": "RYAN",
        "middle_name": "S.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-08-06",
        "last_updated": "2013-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "14599",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2013; 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.