Individual provider Active NPI

Roopinder Singh Mann, DMD

  • General Practice Dentistry
  • Yuma, AZ
National Provider Identifier
1396222352
Registry record updated Dec 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
D010131 Issued in AZ
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

Updated by the provider on Dec 15, 2020

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 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

LicenseStateTypeSpecialty
D010131AZMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Mann Pacific Dental, LLC General Practice CurrentSince Dec 27, 2020 Accepting new patients
Mann Norterra Dental, LLC. General Practice Current Accepting new patients
Mann Fortuna Dental, LLC General Practice PastSince Dec 27, 2020 Accepting new patients
Navajo Smiles LLC PastSince Jul 31, 2023 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.

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.

Verify at the official NPI Registry.