Organization Active NPI

Michael E Mann DMD PC

  • General Practice Dentistry
  • Huntsville, AL
National Provider Identifier
1245612324
Registry record updated Jun 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
3526 Issued in AL
Legal business name
MICHAEL E MANN DMD PC
Practice address
1111 Gleneagles Dr SW Ste a
Huntsville, AL 35801-7418
Phone
(256) 881-7080
Fax
(256) 881-9707
NPI assigned
Jun 24, 2015
Last updated
Jun 24, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2015

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

Authorized official

Name
Dr. Michael Edward Mann, DMDNPI 1386658573
Title
President
Phone
(256) 881-7080

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 3526 AL Primary

Addresses

Primary practice location

1111 Gleneagles Dr SW Ste a
Huntsville, AL 35801-7418

Mailing address

1111 Gleneagles Dr SW Ste a
Huntsville, AL 35801-7418
Phone (256) 881-7080

National Provider Directory

National Provider Directory

Locations

1111 Gleneagles Dr SW
Ste A
Huntsville, AL 35801
Phone (256) 881-7080

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1435104000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1435104000000",
    "number": "1245612324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 GLENEAGLES DR SW STE A",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358017418",
            "telephone_number": "256-881-7080",
            "fax_number": "256-881-9707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 GLENEAGLES DR SW STE A",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358017418",
            "telephone_number": "256-881-7080",
            "fax_number": "256-881-9707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL E MANN DMD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-24",
        "last_updated": "2015-06-24",
        "status": "A",
        "authorized_official_last_name": "MANN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "256-881-7080",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AL",
            "license": "3526",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntsville, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2015; 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.