Steve Mangan DDS, PA

Primary specialty

Public Health DentistryTaxonomy code 1223D0001X

License

2807 Issued in AR

Legal business name

STEVE MANGAN DDS, PA

Practice address

5307 Kavanaugh Blvd
Little Rock, AR 72207-4610

Phone

(501) 666-2801

Fax

(501) 666-4863

NPI assigned

Oct 29, 2013

Organization subpart

No

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

Authorized official

Name

Steve Mangan, DDS

Title

Dentist

Phone

(501) 666-2801

Specialties & licenses 3

Addresses

Tax ID family

Steve Mangan DDS PA2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Steve Mangan, D.D.S., P.a.

  • General Practice Dentistry
  • Little Rock, AR
  • NPI 1922143262
  NPD tax ID

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

{
    "created_epoch": "1383004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383004800000",
    "number": "1225466329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5307 KAVANAUGH BLVD",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722074610",
            "telephone_number": "501-666-2801",
            "fax_number": "501-666-4863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5307 KAVANAUGH BLVD",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722074610",
            "telephone_number": "501-666-2801",
            "fax_number": "501-666-4863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEVE MANGAN DDS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-29",
        "last_updated": "2013-10-29",
        "status": "A",
        "authorized_official_last_name": "MANGAN",
        "authorized_official_first_name": "STEVE",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "501-666-2801",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "AR",
            "license": "3929",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "AR",
            "license": "3927",
            "primary": false
        },
        {
            "code": "1223D0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Dental Public Health",
            "state": "AR",
            "license": "2807",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Geraldine E Sterling, SLP
• Anne Stermock, PHD
• Scott J Stern, MD
• Jack Jay Sternberg, M.D.
• Katie Sterns
• Steve Mangan, D.D.S., P.a.
• Steven D. Bravard, O.D., P.a.
• Adam Harvey Stevens, DPT
• Amanda Elizabeth Stevens, APN
• Carl Stevens, MD

• Public Health Dentistry in Little Rock, AR
• Providers in Little Rock, AR by specialty
• Public Health Dentistry in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 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.