Active NPI
Roopinder Singh Mann, DMD
- General Practice Dentistry
- Yuma, AZ
National Provider Identifier
1396222352
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- D010131
- Practice address
- 1630 S Pacific Ave Ste 104
Yuma, AZ 85365-2111 - Phone
- (928) 783-0804
- NPI assigned
- Jul 23, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | D010131 | AZ | Primary |
Addresses
Primary practice location
1630 S Pacific Ave Ste 104
Yuma, AZ 85365-2111
Mailing address
7628 N Via de Manana
Scottsdale, AZ 85258-3517
Phone (510) 378-0841
Other practice location 1
11231 Commercial Center Loop Ste 105
Yuma, AZ 85367-7474
Phone (928) 783-8300
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D010131 | AZ | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mann Pacific Dental, LLC | General Practice | Current | Accepting new patients |
| Mann Norterra Dental, LLC. | General Practice | Current | Accepting new patients |
| Mann Fortuna Dental, LLC | General Practice | Past | Accepting new patients |
| Navajo Smiles LLC | Past | Accepting new patients |
Locations
1630 S Pacific Ave
Ste 104
Yuma, AZ 85365
Phone (510) 378-9802
Organizations & group practices 4
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.
-
- General Practice Dentistry
- Phoenix, AZ
- NPI 1598426736
-
- General Practice Dentistry
- Yuma, AZ
- NPI 1366039539
-
- General Practice Dentistry
- Yuma, AZ
- NPI 1457948622
-
- Dentist
- Peoria, AZ
- NPI 1255012621
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1532304000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1607990400000",
"number": "1396222352",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7628 N VIA DE MANANA",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852583517",
"telephone_number": "510-378-0841"
},
{
"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": "928-783-0804"
}
],
"practiceLocations": [
{
"address_1": "11231 Commercial Center Loop Ste 105",
"address_purpose": "LOCATION",
"city": "Yuma",
"state": "AZ",
"postal_code": "853677474",
"country_code": "US",
"telephone_number": "928-783-8300",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MANN",
"first_name": "ROOPINDER",
"middle_name": "SINGH",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-07-23",
"last_updated": "2020-12-15",
"certification_date": "2020-12-14",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "AZ",
"license": "D010131",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Yuma, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 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.