Active NPI
Ripdeep Mangat MD, P.C.
- Allergy & Immunology Physician
- Bend, OR
National Provider Identifier
1275776346
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Allergy & Immunology Physician
- License
- MD28729
- Legal business name
- RIPDEEP MANGAT MD, P.C.
- Practice address
- 1250 NE 3Rd St Ste B100
Bend, OR 97701-3151 - Phone
- (541) 317-1700
- NPI assigned
- Apr 19, 2009
- Last updated
- Apr 19, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ripdeep Mangat, M.D.
- Title
- President
- Phone
- (949) 683-4171
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Allergy & Immunology Physician | 207K00000X | MD28729 | OR | Primary |
Addresses
Primary practice location
1250 NE 3Rd St Ste B100
Bend, OR 97701-3151
Mailing address
1250 NE 3Rd St Ste B100
Bend, OR 97701-3151
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
2253 NE Doctors Dr
Bend, OR 97701
Phone (541) 317-1700
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": "1240099200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1240099200000",
"number": "1275776346",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1250 NE 3RD ST STE B100",
"city": "BEND",
"state": "OR",
"postal_code": "977013151"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1250 NE 3RD ST STE B100",
"city": "BEND",
"state": "OR",
"postal_code": "977013151",
"telephone_number": "541-317-1700"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RIPDEEP MANGAT MD, P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2009-04-19",
"last_updated": "2009-04-19",
"status": "A",
"authorized_official_last_name": "MANGAT",
"authorized_official_first_name": "RIPDEEP",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "949-683-4171",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207K00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Allergy & Immunology",
"state": "OR",
"license": "MD28729",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bend, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.