Zachary Michael Mangarin, RDH

Primary specialty

Dental HygienistTaxonomy code 124Q00000X

License

61005381 Issued in WA

Practice address

1112 S Cushman Ave
Tacoma, WA 98405-3631

Phone

(253) 593-2144

NPI assigned

Aug 21, 2020

Sex

Male

Sole proprietor

Yes

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1597968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755129600000",
    "number": "1700498607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 34703",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981241703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1112 S CUSHMAN AVE",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984053631",
            "telephone_number": "253-593-2144"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6004 Capitol Blvd SE Fl 1",
            "address_purpose": "LOCATION",
            "city": "Tumwater",
            "state": "WA",
            "postal_code": "985018520",
            "country_code": "US",
            "telephone_number": "360-522-9070",
            "fax_number": "360-522-9077",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MANGARIN",
        "first_name": "ZACHARY",
        "middle_name": "MICHAEL",
        "credential": "RDH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-08-21",
        "last_updated": "2025-08-14",
        "certification_date": "2025-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dental Hygienist",
            "state": "WA",
            "license": "61005381",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPLOYEE OF SEA MAR",
            "identifier": "NONE",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Deborah Mandel, PMHNP-BC
• Porsche Maneice, SLP
• Joseph Mayimba Mangala, MD-CE
• Shilpa Priya Mangalampally
• Shruti Pramod Mangalore, MPT
• Ashley Mangum, MSW
• Joyce Manguru
• David Maniago, NP
• Leah Manigbas
• John Maningas, RN

• Dental Hygienist in Tacoma, WA
• Providers in Tacoma, WA by specialty
• Dental Hygienist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2025; 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.