Individual provider Active NPI

Mark Joseph Manhart, D.D.S.

  • General Practice Dentistry
  • Omaha, NE
National Provider Identifier
1659459352
Registry record updated Apr 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
3590 Issued in NE
Practice address
7836 Wakeley PLZ
Morgan Medical & Professional Plaza
Omaha, NE 68114-3650
Phone
(402) 391-7888
Fax
(402) 391-2267
NPI assigned
Nov 1, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 29, 2013

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 3590 NE Primary

Addresses

Primary practice location

7836 Wakeley PLZ
Morgan Medical & Professional Plaza
Omaha, NE 68114-3650

Mailing address

7836 Wakeley PLZ
Morgan Medical & Professional Plaza
Omaha, NE 68114-3650
Phone (402) 391-7888

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)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1367193600000",
    "number": "1659459352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7836 WAKELEY PLZ",
            "address_2": "MORGAN MEDICAL & PROFESSIONAL PLAZA",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681143650",
            "telephone_number": "402-391-7888",
            "fax_number": "402-391-2267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7836 WAKELEY PLZ",
            "address_2": "MORGAN MEDICAL & PROFESSIONAL PLAZA",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681143650",
            "telephone_number": "402-391-7888",
            "fax_number": "402-391-2267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANHART",
        "first_name": "MARK",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2013-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NE",
            "license": "3590",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2013; 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.