Active NPI
Andrew Mancin
- Dentist
- Gladstone, MO
National Provider Identifier
1659773588
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 2014031160
- Practice address
- 7229 N Oak Trfy
Gladstone, MO 64118-1852 - Phone
- (816) 436-0354
- NPI assigned
- Sep 23, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 2014031160 | MO | Primary |
Addresses
Primary practice location
7229 N Oak Trfy
Gladstone, MO 64118-1852
Mailing address
7229 N Oak Trfy
Gladstone, MO 64118-1852
Phone (816) 436-0354
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2014031160 | MO | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northland Dental | Dentist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Dentist
- Gladstone, MO
- NPI 1649672569
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1411430400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1411430400000",
"number": "1659773588",
"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"
},
{
"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"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANCIN",
"first_name": "ANDREW",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-09-23",
"last_updated": "2014-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MO",
"license": "2014031160",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gladstone, MO
Sources for this page
- 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.