Neil C Manczak, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2901019241 Issued in MI

Practice address

6250 S Cedar St
Ste. 5
Lansing, MI 48911-5744

Phone

(517) 394-2226

Fax

(517) 394-3860

NPI assigned

May 23, 2006

Last updated

Mar 1, 2016By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• River Rock Dental

  • Dental Clinic/Center
  • Monroe, MI
  • NPI 1063154060
  NPD Authorized official
• Baig Dental Group, P.C.

  dba Cedar Family Dental

  • General Practice Dentistry
  • Lansing, MI
  • NPI 1801948476
  NPD (past)
• Cedar Dental, P.C.

  dba Cedar Family Dental

  • General Practice Dentistry
  • Lansing, MI
  • NPI 1003099300
  NPD (past)
• Michigan Private Dental Group

  dba Stoneridge Dental

  • General Practice Dentistry
  • Saint Clair Shores, MI
  • NPI 1902203227
  NPD (past)

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

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456790400000",
    "number": "1497700991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27731 JEFFERSON AVE",
            "city": "ST CLAIR SHORES",
            "state": "MI",
            "postal_code": "48081",
            "telephone_number": "586-771-3440",
            "fax_number": "586-771-8877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6250 S CEDAR ST",
            "address_2": "STE. 5",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489115744",
            "telephone_number": "517-394-2226",
            "fax_number": "517-394-3860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANCZAK",
        "first_name": "NEIL",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-23",
        "last_updated": "2016-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901019241",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katelyn E Mallory
• Marc P Mallory, D.D.S., PLLC
• Raj Malosh, PRC
• Whitney Nicole Malzahn, NURSE PRACTITIONER
• Irada Mamukadze, MD
• Karlie Ann Mandziara
• Manestream Services LLC
• Rhonda S Maney, M.D.
• Edmon Mann, CSW
• Garry Mann

• General Practice Dentistry in Lansing, MI
• Providers in Lansing, MI by specialty
• General Practice Dentistry in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.