Organization Active NPI

Manuel Sangalang

  • Family Medicine Physician
  • Lewiston, ME
National Provider Identifier
1790903961
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
007097 Issued in ME
Legal business name
MANUEL SANGALANG
Practice address
111 Webster St
Lewiston, ME 04240-6464
Phone
(207) 782-6021
Fax
(207) 782-6021
NPI assigned
Apr 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Manuel Sangalang, M.D.
Title
Owner
Phone
(207) 782-6021

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X 007097 ME Primary

Addresses

Primary practice location

111 Webster St
Lewiston, ME 04240-6464

Mailing address

111 Webster St
Lewiston, ME 04240-6464
Phone (207) 782-6021

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1177286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1790903961",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 WEBSTER ST",
            "city": "LEWISTON",
            "state": "ME",
            "postal_code": "042406464",
            "telephone_number": "207-782-6021",
            "fax_number": "207-782-6021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 WEBSTER ST",
            "city": "LEWISTON",
            "state": "ME",
            "postal_code": "042406464",
            "telephone_number": "207-782-6021",
            "fax_number": "207-782-6021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANUEL SANGALANG",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SANGALANG",
        "authorized_official_first_name": "MANUEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "207-782-6021",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "ME",
            "license": "007097",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewiston, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.