Teresa Mann, M.D., P.C.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

TERESA MANN, M.D., P.C.

Doing business as

Pure Dermatology

Practice address

2233 W Kagy Blvd Ste 2
Bozeman, MT 59718-5938

Phone

(406) 586-7873

Fax

(406) 586-2332

NPI assigned

Apr 23, 2014

Last updated

Sep 1, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Teresa P. Mann, M.D.NPI 1174632277

Title

President

Phone

(406) 586-7873

Specialties & licenses 1

Addresses

Other names 1

• Pure Dermatology Doing business as

Medicare fee-for-service enrollment

Enrolled in MT

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 7

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.

• Teresa P Mann, M.D.

  • Dermatology Physician
  • Bozeman, MT
  • NPI 1174632277
  Medicare reassignment Care Compare group NPD Authorized official
• Christopher S Crowley, MD, PHD

  • Dermatology Physician
  • Bozeman, MT
  • NPI 1962836783
  Medicare reassignment Care Compare group NPD
• Ashlee Lauren Culver, MD

  • Dermatology Physician
  • Bozeman, MT
  • NPI 1659833986
  Medicare reassignment Care Compare group NPD
• Laura Sherer Pace, PA

  • Medical Physician Assistant
  • Bozeman, MT
  • NPI 1629267521
  Medicare reassignment Care Compare group
• Elizabeth A Ansley, PA-C

  • Medical Physician Assistant
  • Bozeman, MT
  • NPI 1073823845
  Medicare reassignment
• Martha Galli, PA-C

  • Physician Assistant
  • Bozeman, MT
  • NPI 1154671006
  Medicare reassignment
• Kristen L Nelson, CNP

  • Nurse Practitioner
  • Rapid City, SD
  • NPI 1790049435
  NPD (past)

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

{
    "created_epoch": "1398211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598918400000",
    "number": "1255751707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2233 W KAGY BLVD STE 2",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597185938",
            "telephone_number": "406-586-7873",
            "fax_number": "406-586-2332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2233 W KAGY BLVD STE 2",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597185938",
            "telephone_number": "406-586-7873",
            "fax_number": "406-586-2332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TERESA MANN, M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-23",
        "last_updated": "2020-09-01",
        "certification_date": "2020-08-27",
        "status": "A",
        "authorized_official_last_name": "MANN",
        "authorized_official_first_name": "TERESA",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "406-586-7873",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pure Dermatology",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Pure Dermatology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Evan William Telford, DPT, PT
• Carly Templeton, RDN
• Richard Dean Tenney, MD
• Cheryl C Tenpas, DPT, CLT-LANA
• Dayna Maria Tepas, MASSAGE THERAPIST
• Crystal Tetzel, LCPC
• Christopher J Thacker, M.D.
• Ronald W. Tharp, MD
• Laurie W Thatcher, LCSW
• The Center for Holistic Surgery

• Dermatology Physician in Bozeman, MT
• Providers in Bozeman, MT by specialty
• Dermatology Physician in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.