Individual provider Active NPI

Allen Wayne Mangel, MD

  • Research Study Specialist
  • Chapel Hill, NC
National Provider Identifier
1689915969
Registry record updated Mar 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Research Study SpecialistTaxonomy code 1744R1102X
License
39193 Issued in NC
Practice address
208 Ukiah LN
Chapel Hill, NC 27514-1476
Phone
(919) 931-9862
Fax
(919) 541-1275
NPI assigned
Mar 11, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 11, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Research Study Specialist 1744R1102X 39193 NC Primary

Addresses

Primary practice location

208 Ukiah LN
Chapel Hill, NC 27514-1476

Mailing address

208 Ukiah LN
Chapel Hill, NC 27514-1476
Phone (919) 931-9862

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
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
39193NCMDResearch Study Specialist

NPI Registry JSON

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

{
    "created_epoch": "1362960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1362960000000",
    "number": "1689915969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 UKIAH LN",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275141476",
            "telephone_number": "919-931-9862",
            "fax_number": "919-541-1275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 UKIAH LN",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275141476",
            "telephone_number": "919-931-9862",
            "fax_number": "919-541-1275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANGEL",
        "first_name": "ALLEN",
        "middle_name": "WAYNE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-03-11",
        "last_updated": "2013-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1744R1102X",
            "taxonomy_group": "",
            "desc": "Specialist, Research Study",
            "state": "NC",
            "license": "39193",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chapel Hill, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 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.