Active NPI
Lisa Marie Mangiarelli, DMD
- Orthodontics and Dentofacial Orthopedics Dentistry
- Orlando, FL
National Provider Identifier
1740430073
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- DN 17878
- Practice address
- 1507 S Hiawassee Rd
Suite 202
Orlando, FL 32835-5718 - Phone
- (407) 781-4185
- Fax
- (407) 781-4189
- NPI assigned
- Sep 23, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | DN 17878 | FL | Primary |
Addresses
Primary practice location
1507 S Hiawassee Rd
Suite 202
Orlando, FL 32835-5718
Mailing address
1507 S Hiawassee Rd
Suite 202
Orlando, FL 32835-5718
Phone (407) 781-4185
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 |
|---|---|---|---|
| DN 17878 | FL | MD | Orthodontics and Dentofacial Orthopedic Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1222128000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1222128000000",
"number": "1740430073",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1507 S HIAWASSEE RD",
"address_2": "SUITE 202",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328355718",
"telephone_number": "407-781-4185",
"fax_number": "407-781-4189"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1507 S HIAWASSEE RD",
"address_2": "SUITE 202",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328355718",
"telephone_number": "407-781-4185",
"fax_number": "407-781-4189"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANGIARELLI",
"first_name": "LISA",
"middle_name": "MARIE",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-09-23",
"last_updated": "2008-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "FL",
"license": "DN 17878",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.