Individual provider Active NPI

John Thomas Mancini, DMD

  • Dentist
  • Midvale, UT
National Provider Identifier
1497693451
Registry record updated Apr 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
14249952 Issued in UT
Practice address
49 W Center St
Midvale, UT 84047-7364
Phone
(385) 887-9002
NPI assigned
Mar 23, 2026
Last updated
Apr 18, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 18, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
14249952UTMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
John D Mancini DDS PC PastSince Nov 23, 2016 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.

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.

Verify at the official NPI Registry.