Active NPI
Cyril Mansperger, DDS
- Dentist
- Beacon, NY
National Provider Identifier
1700019213
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 035981
- Practice address
- 535 Route 52
Beacon, NY 12508 - Phone
- (845) 831-3435
- Fax
- (845) 831-3437
- NPI assigned
- Aug 31, 2009
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 14346 | MA | |
| Dentist | 122300000X | 035981 | NY | Primary |
Addresses
Primary practice location
535 Route 52
Beacon, NY 12508
Mailing address
535 Route 52
Beacon, NY 12508
Phone (845) 831-3435
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 |
|---|---|---|---|
| 14346 | MA | MD | Dentist |
| 035981 | NY | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1251676800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1541030400000",
"number": "1700019213",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "535 ROUTE 52",
"city": "BEACON",
"state": "NY",
"postal_code": "12508",
"telephone_number": "845-831-3435",
"fax_number": "845-831-3437"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "535 ROUTE 52",
"city": "BEACON",
"state": "NY",
"postal_code": "12508",
"telephone_number": "845-831-3435",
"fax_number": "845-831-3437"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANSPERGER",
"first_name": "CYRIL",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-08-31",
"last_updated": "2018-11-01",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MA",
"license": "14346",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NY",
"license": "035981",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Beacon, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.