Individual provider Active NPI

Stephen August Mancuso, DDS

  • General Practice Dentistry
  • Columbus, NE
National Provider Identifier
1851280978
Registry record updated Jul 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
8138 Issued in NE
Practice address
2921 13TH St
Columbus, NE 68601-4829
Phone
(402) 564-7180
Fax
(402) 564-7042
NPI assigned
Jul 2, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 8138 NE Primary

Addresses

Primary practice location

2921 13TH St
Columbus, NE 68601-4829

Mailing address

2921 13TH St
Columbus, NE 68601-4829
Phone (402) 564-7180

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

LicenseStateTypeSpecialty
8138NEMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Stephen J Mancuso DDS PC CurrentSince Sep 8, 2025 Accepting new patients

Locations

2921 13th St
Columbus, NE 68601
Phone (402) 564-7180

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1751414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752451200000",
    "number": "1851280978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2921 13TH ST",
            "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 ST",
            "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": "AUGUST",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-07-02",
        "last_updated": "2025-07-14",
        "certification_date": "2025-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NE",
            "license": "8138",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, NE

Sources for this page

  • 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.