Active NPI
Stephen August Mancuso, DDS
- General Practice Dentistry
- Columbus, NE
National Provider Identifier
1851280978
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 8138
- 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
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 |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 8138 | NE | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Stephen J Mancuso DDS PC | Current | 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.
-
- Dental Clinic/Center
- Columbus, NE
- NPI 1407736234
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.