Individual provider Active NPI

James Lester Mann, DDS

  • General Practice Dentistry
  • Reno, NV
National Provider Identifier
1346330479
Registry record updated Jun 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
5169 Issued in NV
Practice address
3362 S McCarran Blvd
Reno, NV 89502-6442
Phone
(775) 329-5437
Fax
(775) 829-1553
NPI assigned
Oct 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 5169 NV Primary

Addresses

Primary practice location

3362 S McCarran Blvd
Reno, NV 89502-6442

Mailing address

3362 S McCarran Blvd
Reno, NV 89502-6442
Phone (775) 329-5437

Other identifiers 2

IdentifierTypeStateIssuer
100510490MedicaidNV
1936346OtherNVUNITED CONCORDIA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150610000500 NV Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 4183945504

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5169NVMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Small Smiles of Reno, LLC General Practice Current Accepting new patients

Locations

3362 S McCarran Blvd
Reno, NV 89502
Phone (775) 329-5437

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433116800000",
    "number": "1346330479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3362 S MCCARRAN BLVD",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895026442",
            "telephone_number": "775-329-5437",
            "fax_number": "775-829-1553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3362 S MCCARRAN BLVD",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895026442",
            "telephone_number": "775-329-5437",
            "fax_number": "775-829-1553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANN",
        "first_name": "JAMES",
        "middle_name": "LESTER",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-12",
        "last_updated": "2015-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NV",
            "license": "5169",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100510490",
            "state": "NV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "1936346",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Reno, NV

Sources for this page

Verify at the official NPI Registry.