Kenneth Mangano, DDS PA

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

12584 Issued in MD

Legal business name

KENNETH MANGANO, DDS PA

Practice address

8025 Ritchie Hwy
Suite 204
Pasadena, MD 21122-1031

Phone

(410) 766-3453

Fax

(410) 766-3454

NPI assigned

Feb 17, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Kenneth Mangnano, DDS

Title

President

Phone

(410) 766-3453

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kenneth Mangano, D.D.S.

  • Endodontics
  • Pasadena, MD
  • NPI 1255332391
  NPD (past)

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

{
    "created_epoch": "1171670400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1487798856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8025 RITCHIE HWY",
            "address_2": "SUITE 204",
            "city": "PASADENA",
            "state": "MD",
            "postal_code": "211221031",
            "telephone_number": "410-766-3453",
            "fax_number": "410-766-3454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8025 RITCHIE HWY",
            "address_2": "SUITE 204",
            "city": "PASADENA",
            "state": "MD",
            "postal_code": "211221031",
            "telephone_number": "410-766-3453",
            "fax_number": "410-766-3454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNETH MANGANO, DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MANGNANO",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "410-766-3453",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": "MD",
            "license": "12584",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Howard Andrew Katz, D.D.S.
• Delaney Yvonne Kelly, NP
• Tracy Lynn Kemmer, CPHT
• Kristin Kemp
• Valda J Kempthorne, MD
• Nancy Jill Kerr
• Mukul Khandelwal, MD
• Nidhi Khullar, DO
• Sarah Alice Kiesling, PA-C
• Dahae Kim

• Endodontics in Pasadena, MD
• Providers in Pasadena, MD by specialty
• Endodontics in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.