Dean A Mancheski, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

23142-020 Issued in WI

Practice address

1703 N Taylor Dr
Sheboygan, WI 53081-1933

Phone

(920) 457-4438

Fax

(920) 457-6748

NPI assigned

Apr 21, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1145577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339459200000",
    "number": "1669438438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4425 N PORT WASHINGTON RD",
            "address_2": "ATTN: CLINIC CREDENTIALING",
            "city": "GLENDALE",
            "state": "WI",
            "postal_code": "532121082",
            "telephone_number": "920-457-4438",
            "fax_number": "920-457-6748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1703 N TAYLOR DR",
            "city": "SHEBOYGAN",
            "state": "WI",
            "postal_code": "530811933",
            "telephone_number": "920-457-4438",
            "fax_number": "920-457-6748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANCHESKI",
        "first_name": "DEAN",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-21",
        "last_updated": "2012-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WI",
            "license": "23142-020",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30356200",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• James C Magestro, DDS
• Leslie Elizabeth Mahmutagic, CPHT
• June Maile, RN, CDE
• Laura Renee Maki, SAC-IT
• Sabrina Marie Malson, M.S., CF-SLP
• Laura Elizabeth Manning, RN-BSN
• Rochelle Manzano, MS MFT
• Kelli Marchello, DPT
• Jaime K Marchi, DDS
• Laura J Markham, PT

• Family Medicine Physician in Sheboygan, WI
• Providers in Sheboygan, WI by specialty
• Family Medicine Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2012; 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.