Maricris Mangasi, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DT-2639 Issued in HI

Practice address

400 Hualani St
BLDG 9 Ste 192
Hilo, HI 96720-4378

Phone

(808) 935-6620

NPI assigned

Jan 28, 2016

Last updated

Dec 19, 2016By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in HI

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

Medicare enrollment (NPD)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Hawaii Dental Group, Inc.

  dba Hawaii Family Dental Centers-Hilo

  • General Practice Dentistry
  • Hilo, HI
  • NPI 1497063226
  NPD (past)

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

{
    "created_epoch": "1453939200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1482105600000",
    "number": "1366809865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 HUALANI ST",
            "address_2": "BLDG 9 SUITE 192",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967204378",
            "telephone_number": "808-935-6620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 HUALANI ST",
            "address_2": "BLDG 9 STE 192",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967204378",
            "telephone_number": "808-935-6620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANGASI",
        "first_name": "MARICRIS",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-01-28",
        "last_updated": "2016-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "HI",
            "license": "DT-2639",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nellieshy Mamuad
• Mana Counseling and Coaching LLC
• Irene Manarpaac
• Jane Manchon
• Rica Joy Duldulao Maneja
• Adam Manion
• Liza R Maniquis-Smigel, M.D.
• Zachary A. Manlucu, NP
• Alana Manuia
• Marcy M Kawasaki DDS

• General Practice Dentistry in Hilo, HI
• Providers in Hilo, HI by specialty
• General Practice Dentistry in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.