Individual provider Active NPI

Kathi Marie Mansell-Glowacky

  • General Practice Dentistry
  • Scottsdale, AZ
National Provider Identifier
1609874361
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
3701 Issued in AZ
Practice address
7595 E. McDonald Drive
Suite 110
Scottsdale, AZ 85250-6004
Phone
(480) 948-1255
Fax
(480) 951-5844
NPI assigned
Jul 7, 2005
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 3701 AZ Primary

Addresses

Primary practice location

7595 E. McDonald Drive
Suite 110
Scottsdale, AZ 85250-6004

Mailing address

9370 E. Calle de Las Brisas
Scottsdale, AZ 85255-4335
Phone (480) 502-1843

Other names 1

  • Kathi Marie Mansell Professional name

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

NPI Registry JSON

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

{
    "created_epoch": "1120694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1609874361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9370 E. CALLE DE LAS BRISAS",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852554335",
            "telephone_number": "480-502-1843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7595 E. MCDONALD DRIVE",
            "address_2": "SUITE 110",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852506004",
            "telephone_number": "480-948-1255",
            "fax_number": "480-951-5844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANSELL-GLOWACKY",
        "first_name": "KATHI",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-07",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "3701",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHI",
            "last_name": "MANSELL",
            "middle_name": "MARIE",
            "credential": "DMD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Scottsdale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 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.