Kevin R. Mann DDS, PA

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

3666 Issued in AR

Legal business name

KEVIN R. MANN DDS, PA

Practice address

1224 W Court St
Paragould, AR 72450-4132

Phone

(870) 239-5518

NPI assigned

Dec 23, 2008

Organization subpart

No

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

Authorized official

Name

Kevin Ryan MannNPI 1528229960

Title

President

Phone

(870) 239-5518

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kevin Ryan Mann, DDS

  • Dentist
  • Paragould, AR
  • NPI 1528229960
  NPD Authorized official
• Tim E. Hunt, D.D.S.

  • General Practice Dentistry
  • Paragould, AR
  • NPI 1689884306
  NPD (past)

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

{
    "created_epoch": "1229990400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1229990400000",
    "number": "1275779258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1224 W COURT ST",
            "city": "PARAGOULD",
            "state": "AR",
            "postal_code": "724504132",
            "telephone_number": "870-239-5518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1224 W COURT ST",
            "city": "PARAGOULD",
            "state": "AR",
            "postal_code": "724504132",
            "telephone_number": "870-239-5518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEVIN R. MANN DDS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-23",
        "last_updated": "2008-12-23",
        "status": "A",
        "authorized_official_last_name": "MANN",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "RYAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "870-239-5518"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "AR",
            "license": "3666",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "168213608",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Andrea Kellim, LPC
• Clarence Leonard Kemp, M.D.
• Justin Kemp, APRN
• Karina Kennedy
• Kenneth F Rodgers MD PA
• Kevin Ward, DDS, PA
• Larissa Kidd, LMT
• Olivia Kidd, LMSW
• Kidspot Paragould Inc
• Kidspot Paragould Inc

• Dental Clinic/Center in Paragould, AR
• Providers in Paragould, AR by specialty
• Dental Clinic/Center in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2008; 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.