Molly Mangual

Primary specialty

Dental HygienistTaxonomy code 124Q00000X

License

H7839 Issued in OR

Practice address

222 SE 8TH Ave Ste 270
Hillsboro, OR 97123-4218

Phone

(503) 352-7373

NPI assigned

Feb 8, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Wilsonville Smiles PC

  • General Practice Dentistry
  • Wilsonville, OR
  • NPI 1346516192
  NPD (past)

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

{
    "created_epoch": "1675814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675814400000",
    "number": "1265139539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1059 JUNIPER ST N",
            "city": "KEIZER",
            "state": "OR",
            "postal_code": "973036262",
            "telephone_number": "503-730-7674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 SE 8TH AVE STE 270",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971234218",
            "telephone_number": "503-352-7373"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "30040 SW Boones Ferry Rd Ste 20",
            "address_purpose": "LOCATION",
            "city": "Wilsonville",
            "state": "OR",
            "postal_code": "970708910",
            "country_code": "US",
            "telephone_number": "503-682-4500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MANGUAL",
        "first_name": "MOLLY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-08",
        "last_updated": "2023-02-08",
        "certification_date": "2023-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "OR",
            "license": "H7839",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Debesh Mallik, M.S.
• Kevin Frederick Mallon, PH.D.
• Kristian Adriana Mancillas
• Anandhi Mandi, M.D.
• Natalie Nunez Mandujano
• Sequoia Manley
• Anna Mann
• Suman Mann
• Vikram Manoranjan
• Kunal Lalit Mansukhani, DMD

• Dental Hygienist in Hillsboro, OR
• Providers in Hillsboro, OR by specialty
• Dental Hygienist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2023; 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.