David James Mandery

Primary specialty

DriverTaxonomy code 172A00000X

License

K461180696011 Issued in MN

Practice address

606 Highway 123 W
Sandstone, MN 55072-5060

Phone

(320) 245-5355

Fax

(320) 216-7368

NPI assigned

Jun 29, 2023

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Attaboys, Inc

  • Non-emergency Medical Transport (VAN)
  • Sandstone, MN
  • NPI 1669603742
  NPD

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

{
    "created_epoch": "1687996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687996800000",
    "number": "1760169023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 26",
            "city": "SANDSTONE",
            "state": "MN",
            "postal_code": "550720026",
            "telephone_number": "320-245-5355",
            "fax_number": "320-216-7638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "606 HIGHWAY 123 W",
            "city": "SANDSTONE",
            "state": "MN",
            "postal_code": "550725060",
            "telephone_number": "320-245-5355",
            "fax_number": "320-216-7368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANDERY",
        "first_name": "DAVID",
        "middle_name": "JAMES",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-06-29",
        "last_updated": "2023-06-29",
        "certification_date": "2023-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172A00000X",
            "taxonomy_group": "",
            "desc": "Driver",
            "state": "MN",
            "license": "K461180696011",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffrey Allen Lee
• Duane Leger
• Deedree Ann Ludwig
• Karlene Marie Madill
• Michelle Marie Majeski
• Tyler Grayson Marohn
• Joleen L Marx
• Marie E Matson
• Kenneth Neil McDonnell Jr., LADC
• Christy Leah Melzark, NP

• Driver in Sandstone, MN
• Providers in Sandstone, MN by specialty
• Driver in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2023; 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.