Organization Active NPI

Stephen J Mancuso DDS PC

  • Dental Clinic/Center
  • Columbus, NE
National Provider Identifier
1407736234
Registry record updated Sep 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
STEPHEN J MANCUSO DDS PC
Practice address
2921 13TH St
Columbus, NE 68601-4829
Phone
(402) 564-7180
Fax
(402) 564-7042
NPI assigned
Sep 3, 2025
Last updated
Sep 3, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2025

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

Authorized official

Name
Stephen Joseph Mancuso, DDSNPI 1801900295
Title
Owner/Dentist
Phone
(402) 564-7180

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

2921 13TH St
Columbus, NE 68601-4829

Mailing address

2921 13TH St
Columbus, NE 68601-4829
Phone (402) 564-7180

National Provider Directory

National Provider Directory

Locations

2921 13th St
Columbus, NE 68601
Phone (402) 564-7180

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1756857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756857600000",
    "number": "1407736234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2921 13TH ST",
            "city": "COLUMBUS",
            "state": "NE",
            "postal_code": "686014829",
            "telephone_number": "402-564-7180",
            "fax_number": "402-564-7042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2921 13TH ST",
            "city": "COLUMBUS",
            "state": "NE",
            "postal_code": "686014829",
            "telephone_number": "402-564-7180",
            "fax_number": "402-564-7042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHEN J MANCUSO DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-03",
        "last_updated": "2025-09-03",
        "certification_date": "2025-09-03",
        "status": "A",
        "authorized_official_last_name": "MANCUSO",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "402-564-7180",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2025; 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.