Organization Active NPI

Brian K. Mangano, DMD, LLC

  • General Practice Dentistry
  • Methuen, MA
National Provider Identifier
1629522743
Registry record updated Aug 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
16185 Issued in MA
Legal business name
BRIAN K. MANGANO, DMD, LLC
Practice address
487 Broadway
Methuen, MA 01844-2024
Phone
(978) 682-6071
NPI assigned
Aug 5, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2016

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

Authorized official

Name
Dr. Brian K Mangano, DMDNPI 1194746875
Title
Dentist - Owner
Phone
(978) 682-6071

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 16185 MA Primary

Addresses

Primary practice location

487 Broadway
Methuen, MA 01844-2024

Mailing address

487 Broadway
Methuen, MA 01844-2024
Phone (978) 682-6071

National Provider Directory

National Provider Directory

Locations

487 Broadway
Methuen, MA 01844
Phone (978) 682-6071

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1470355200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470355200000",
    "number": "1629522743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "487 BROADWAY",
            "city": "METHUEN",
            "state": "MA",
            "postal_code": "018442024",
            "telephone_number": "978-682-6071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "487 BROADWAY",
            "city": "METHUEN",
            "state": "MA",
            "postal_code": "018442024",
            "telephone_number": "978-682-6071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIAN K. MANGANO, DMD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-05",
        "last_updated": "2016-08-05",
        "status": "A",
        "authorized_official_last_name": "MANGANO",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "DENTIST - OWNER",
        "authorized_official_telephone_number": "978-682-6071",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "16185",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Methuen, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 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.

Verify at the official NPI Registry.