Man Y Pun, DDS

Primary specialty

ProsthodonticsTaxonomy code 1223P0700X

License

59205 Issued in CA

Practice address

8860 Center Dr Ste 460
La Mesa, CA 91942-7001

Phone

(619) 463-3773

NPI assigned

Apr 11, 2007

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

Other identifiers 2

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.

• Scott a Recksiedler DMD a Dental Corporation

  • Dental Clinic/Center
  • La Mesa, CA
  • NPI 1144711979
  NPD (past)
• Abramson & Kneussl PA

  • General Practice Dentistry
  • Baltimore, MD
  • NPI 1548370216
  NPD (past)

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

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661212800000",
    "number": "1285857896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8860 CENTER DR STE 460",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919427001",
            "telephone_number": "619-463-3773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8860 CENTER DR STE 460",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919427001",
            "telephone_number": "619-463-3773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUN",
        "first_name": "MAN",
        "middle_name": "Y",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-11",
        "last_updated": "2022-08-23",
        "certification_date": "2022-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "CA",
            "license": "59205",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CORP TAX ID",
            "identifier": "823905981",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CORP NPI #",
            "identifier": "1144711979",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Psychological & Family Support Services, Inc
• Gabriela Alexa Puentes, OTR/L
• Savannah Puett, DDS
• Theresa R Pulickal, PT, DPT
• Pulmonary Associates Medical Group, Inc
• Purushotham and Akther J Kotha M D Inc
• Paul Arthur Pyka, D.O.
• Elaine M Quattro, MFT
• Edward Rabinovich, D.D.S.
• Rachel Leigh Tribble

• Prosthodontics in La Mesa, CA
• Providers in La Mesa, CA by specialty
• Prosthodontics in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2022; 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.