Active NPI
John Thomas Mancini, DMD
- Dentist
- Midvale, UT
National Provider Identifier
1497693451
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 14249952
- Practice address
- 49 W Center St
Midvale, UT 84047-7364 - Phone
- (385) 887-9002
- NPI assigned
- Mar 23, 2026
- Last updated
- Apr 18, 2026
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 14249952 | UT | Primary |
Addresses
Primary practice location
49 W Center St
Midvale, UT 84047-7364
Mailing address
1045 W Ranch Park Dr
West Jordan, UT 84088-8447
Other practice location 1
1415 S Lakeview Ave
Sturgis, MI 49091-2350
Phone (269) 651-6345
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 |
|---|---|---|---|
| 14249952 | UT | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| John D Mancini DDS PC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- General Practice Dentistry
- Sturgis, MI
- NPI 1922558964
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1774224000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776470400000",
"number": "1497693451",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1045 W RANCH PARK DR",
"city": "WEST JORDAN",
"state": "UT",
"postal_code": "840888447"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "49 W CENTER ST",
"city": "MIDVALE",
"state": "UT",
"postal_code": "840477364",
"telephone_number": "385-887-9002"
}
],
"practiceLocations": [
{
"address_1": "1415 S Lakeview Ave",
"address_purpose": "LOCATION",
"city": "Sturgis",
"state": "MI",
"postal_code": "490912350",
"country_code": "US",
"telephone_number": "269-651-6345",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MANCINI",
"first_name": "JOHN",
"middle_name": "THOMAS",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2026-03-23",
"last_updated": "2026-04-18",
"certification_date": "2026-04-18",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "UT",
"license": "14249952",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Midvale, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.