Richard Mancuso DMD PLLC

Primary specialty

DentistTaxonomy code 122300000X

License

DN20889 Issued in FL

Legal business name

RICHARD MANCUSO DMD PLLC

Practice address

4536 W Village Dr
Tampa, FL 33624-3429

Phone

(954) 605-0865

NPI assigned

Jul 27, 2016

Last updated

Jul 27, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Richard Mancuso, D.M.D.NPI 1861892242

Title

Manager

Phone

(954) 605-0865

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Richard Mancuso, D.M.D.

  • General Practice Dentistry
  • Tampa, FL
  • NPI 1861892242
  NPD (past) Authorized official

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

{
    "created_epoch": "1469577600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1469577600000",
    "number": "1720531528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 NW 48TH AVE",
            "city": "DEERFIELD BEACH",
            "state": "FL",
            "postal_code": "334429308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4536 W VILLAGE DR",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336243429",
            "telephone_number": "954-605-0865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD MANCUSO DMD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-27",
        "last_updated": "2016-07-27",
        "status": "A",
        "authorized_official_last_name": "MANCUSO",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "954-605-0865",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN20889",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard John Rejonis II
• Richard Lawrence Siegel, M.D., P.a.
• Richard Lewis MD PA
• Richard M Kernagis DMD PA (kernagis dental excellence)
• Richard M. Levine, DDS, PA
• Richard R Brunelle MD, PA
• Richard R. Shaker DC, PA (Shaker Spine & Sport Institute)
• Debra Richard, MA
• Erin Richard, LCSW
• Alyssa Richards

• Dentist in Tampa, FL
• Providers in Tampa, FL by specialty
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2016; 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.