Active NPI
David C Mann, MD
- Adult Reconstructive Orthopaedic Surgery Physician
- North Charleston, SC
National Provider Identifier
1396700902
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Reconstructive Orthopaedic Surgery Physician
- License
- MD37707
- Practice address
- 1220 Sumner Ave
North Charleston, SC 29406-3822 - Phone
- (843) 225-1115
- Fax
- (608) 265-6562
- NPI assigned
- Apr 18, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 29370 | WI | |
| Adult Reconstructive Orthopaedic Surgery Physician | 207XS0114X | MD37707 | SC | Primary |
Addresses
Primary practice location
1220 Sumner Ave
North Charleston, SC 29406-3822
Mailing address
1220 Sumner Ave
North Charleston, SC 29406-3822
Phone (843) 225-1115
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 31416800 | Medicaid | WI |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://www.dreamcenterclinic.org/ |
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 29370 | WI | MD | Orthopaedic Surgery Physician |
| MD37707 | SC | MD | Adult Reconstructive Orthopaedic Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145318400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1611878400000",
"number": "1396700902",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1220 SUMNER AVE",
"city": "NORTH CHARLESTON",
"state": "SC",
"postal_code": "294063822",
"telephone_number": "843-225-1115"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1220 SUMNER AVE",
"city": "NORTH CHARLESTON",
"state": "SC",
"postal_code": "294063822",
"telephone_number": "843-225-1115",
"fax_number": "608-265-6562"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANN",
"first_name": "DAVID",
"middle_name": "C",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-04-18",
"last_updated": "2021-01-29",
"certification_date": "2021-01-29",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "WI",
"license": "29370",
"primary": false
},
{
"code": "207XS0114X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery",
"state": "SC",
"license": "MD37707",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "31416800",
"state": "WI"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://www.dreamcenterclinic.org/",
"affiliation": "N",
"address_1": "1220 Sumner Ave",
"city": "North Charleston",
"state": "SC",
"country_code": "US",
"postal_code": "294063822",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in North Charleston, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.