Active NPI
Nicholas Mann, D.M.D.
- Orthodontics and Dentofacial Orthopedics Dentistry
- Gainesville, FL
National Provider Identifier
1508205139
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- DN20141
- Practice address
- 1395 Center Dr # D7-19
Gainesville, FL 32610-3006 - Phone
- (352) 273-5651
- NPI assigned
- Jun 17, 2013
- 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 |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | DN20141 | FL | Primary |
Addresses
Primary practice location
1395 Center Dr # D7-19
Gainesville, FL 32610-3006
Mailing address
2826 SW 14TH Dr
Gainesville, FL 32608-2058
Phone (813) 316-6585
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 |
|---|---|---|---|
| DN20141 | FL | MD | Orthodontics and Dentofacial Orthopedic Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1371427200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1474848000000",
"number": "1508205139",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2826 SW 14TH DR",
"city": "GAINESVILLE",
"state": "FL",
"postal_code": "326082058",
"telephone_number": "813-316-6585"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1395 CENTER DR # D7-19",
"city": "GAINESVILLE",
"state": "FL",
"postal_code": "326103006",
"telephone_number": "352-273-5651"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANN",
"first_name": "NICHOLAS",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-06-17",
"last_updated": "2016-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "FL",
"license": "DN20141",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gainesville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.