Mann Pacific Dental, LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

MANN PACIFIC DENTAL, LLC

Practice address

1630 S Pacific Ave Ste 104
Yuma, AZ 85365-2111

Phone

(510) 378-9802

Fax

(928) 783-0846

NPI assigned

Dec 22, 2020

Organization subpart

No

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

Authorized official

Name

Asham Deep Kaur

Title

Ceo

Phone

(510) 378-9802

Specialties & licenses 1

Addresses

Practitioners 1

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

• Roopinder Singh Mann, DMD

  • General Practice Dentistry
  • Yuma, AZ
  • NPI 1396222352
  NPD

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

{
    "created_epoch": "1608595200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1608595200000",
    "number": "1366039539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1630 S PACIFIC AVE STE 104",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853652111",
            "telephone_number": "510-378-9802",
            "fax_number": "928-783-0846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1630 S PACIFIC AVE STE 104",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853652111",
            "telephone_number": "510-378-9802",
            "fax_number": "928-783-0846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANN PACIFIC DENTAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-22",
        "last_updated": "2020-12-22",
        "certification_date": "2020-12-14",
        "status": "A",
        "authorized_official_last_name": "KAUR",
        "authorized_official_first_name": "ASHAM",
        "authorized_official_middle_name": "DEEP",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "510-378-9802"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Morgan Mangum
• Shannon R Manigault, COTA/L
• Norma Manjarrez, LDO
• Elise Ann Mankosa
• Mann Fortuna Dental, LLC
• Manith Mann, MD
• Roopinder Singh Mann, DMD
• Luis Alejandro Manos, AS, BS, CERT.
• Shahid Mansoor, MD
• Linda A Marden, MD

• General Practice Dentistry in Yuma, AZ
• Providers in Yuma, AZ by specialty
• General Practice Dentistry in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2020; 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.