Northland Dental

Primary specialty

DentistTaxonomy code 122300000X

License

2014031160 Issued in MO

Legal business name

NORTHLAND DENTAL

Practice address

7229 N Oak Trfy
Gladstone, MO 64118-1852

Phone

(816) 436-0354

Fax

(816) 468-7034

NPI assigned

Sep 23, 2014

Last updated

Sep 23, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Andrew Steven Mancin, D.D.S., M.S.NPI 1659773588

Title

Dentist

Phone

(816) 436-2760

Specialties & licenses 1

Addresses

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Andrew Mancin

  • Dentist
  • Gladstone, MO
  • NPI 1659773588
  NPD (past) Authorized official
• Mark Steven Mancin, D.D.S.

  • General Practice Dentistry
  • Kansas City, MO
  • NPI 1417020546
  NPD (past)
• Frank John Tamburello, DMD

  • General Practice Dentistry
  • Kansas City, MO
  • NPI 1134806615
  NPD (past)

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

{
    "created_epoch": "1411430400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1411430400000",
    "number": "1649672569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7229 N OAK TRFY",
            "city": "GLADSTONE",
            "state": "MO",
            "postal_code": "641181852",
            "telephone_number": "816-436-0354",
            "fax_number": "816-468-7034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7229 N OAK TRFY",
            "city": "GLADSTONE",
            "state": "MO",
            "postal_code": "641181852",
            "telephone_number": "816-436-0354",
            "fax_number": "816-468-7034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHLAND DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-23",
        "last_updated": "2014-09-23",
        "status": "A",
        "authorized_official_last_name": "MANCIN",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "STEVEN",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "816-436-2760",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S., M.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MO",
            "license": "2014031160",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ana M Newell, BSN, RN
• David Nguyen, PHARM.D.
• Rachel Nicholson, PT, DPT
• Carter Nickell
• Northland Behavioral Health & Wellness, LLC
• Northland Internal Medicine M.D.'S P.C.
• Northland Psychological Assessment Services, LLC
• Northland Pyschiatric Specialists, LLC
• Northland Urgent Care LLC
• Lisa M Nutt, O.D.

• Dentist in Gladstone, MO
• Providers in Gladstone, MO by specialty
• Dentist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2014; 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.