NPIMap

Organization Active NPI

DRS. Mancuso & Mancuso P.C.

  • General Practice Dentistry
  • Omaha, NE
National Provider Identifier
1205127347
Registry record updated Apr 24, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
5075 Issued in NE
Legal business name
DRS. MANCUSO & MANCUSO P.C.
Practice address
7930 Blondo St
Omaha, NE 68134-6661
Phone
(402) 397-7799
NPI assigned
Apr 24, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2011

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

Authorized official

Name
Dr. Gerald John Mancuso, DDSNPI 1972571016
Title
Vice President
Phone
(402) 397-7799

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 SINGLE SPECIALTY GROUP 1223G0001X 5075 NE Primary

Addresses

Primary practice location

7930 Blondo St
Omaha, NE 68134-6661

Mailing address

7930 Blondo St
Omaha, NE 68134-6661
Phone (402) 397-7799

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1303603200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303603200000",
    "number": "1205127347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7930 BLONDO ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681346661",
            "telephone_number": "402-397-7799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7930 BLONDO ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681346661",
            "telephone_number": "402-397-7799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRS. MANCUSO & MANCUSO P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-24",
        "last_updated": "2011-04-24",
        "status": "A",
        "authorized_official_last_name": "MANCUSO",
        "authorized_official_first_name": "GERALD",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "402-397-7799",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NE",
            "license": "5075",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2011; 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.