Brian Patrick Mann, D.D.S

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN013808 Issued in GA

Practice address

1403 S Slappey Blvd
Albany, GA 31701-2627

Phone

(229) 435-6627

Fax

(229) 435-6628

NPI assigned

Oct 1, 2008

Last updated

May 9, 2017By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in GA

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.

• Mann Dental Care LLC

  • Dental Clinic/Center
  • Albany, GA
  • NPI 1871014803
  NPD (past)

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

{
    "created_epoch": "1222819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1494288000000",
    "number": "1578714259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1403 S SLAPPEY BLVD",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317012627",
            "telephone_number": "229-435-6627",
            "fax_number": "229-435-6628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1403 S SLAPPEY BLVD",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317012627",
            "telephone_number": "229-435-6627",
            "fax_number": "229-435-6628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANN",
        "first_name": "BRIAN",
        "middle_name": "PATRICK",
        "credential": "D.D.S",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-10-01",
        "last_updated": "2017-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN013808",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "047790578A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• William Olin Mallow, MD
• Chauncey A Malone, CCC-SLP
• Ngina Omolade Mandouma, LMSW
• Mann Dental Care
• Mann Dental Care LLC
• Christopher J Mann, M.D.
• Cleveland Mann, D.M.D.
• Thomas W Mansfield, NP
• Dallas Hunt Margeson
• Joseph Mariano, MD

• General Practice Dentistry in Albany, GA
• Providers in Albany, GA by specialty
• General Practice Dentistry in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2017; 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.