Stephen J Mancuso, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

5734 Issued in NE

Practice address

2921 13TH Street
Columbus, NE 68601-4829

Phone

(402) 564-7180

Fax

(402) 564-7042

NPI assigned

Aug 19, 2006

Last updated

Jul 14, 2025By the provider in NPPES

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

Other identifiers 1

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Stephen J Mancuso DDS PC

  • Dental Clinic/Center
  • Columbus, NE
  • NPI 1407736234
  NPD Authorized official

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

{
    "created_epoch": "1155945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752451200000",
    "number": "1801900295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2921 13TH STREET",
            "city": "COLUMBUS",
            "state": "NE",
            "postal_code": "686014829",
            "telephone_number": "402-564-7180",
            "fax_number": "402-564-7042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2921 13TH STREET",
            "city": "COLUMBUS",
            "state": "NE",
            "postal_code": "686014829",
            "telephone_number": "402-564-7180",
            "fax_number": "402-564-7042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANCUSO",
        "first_name": "STEPHEN",
        "middle_name": "J",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-19",
        "last_updated": "2025-07-14",
        "certification_date": "2025-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NE",
            "license": "5734",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "47055108713",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jaedyn Kennedy Malasek, ED.S
• Larry E Malicky, OD FAAO
• Jeremie Malijan
• Crystal A. Maly, MSE, LADC, LMHP
• Stephen August Mancuso, DDS
• Brianna Manning
• Barbara Paola Mansito Medina
• Maria Caridad Manso Rivera
• Stephanie Manwarren
• Mark R Griffiths LLC

• General Practice Dentistry in Columbus, NE
• Providers in Columbus, NE by specialty
• General Practice Dentistry in Nebraska

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