Individual provider Active NPI

Ned Legrande Mangelson, M.D.

  • Urology Physician
  • Salt Lake City, UT
National Provider Identifier
1851627756
Registry record updated Aug 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
1465731205 Issued in UT
Practice address
2691 Roxbury Cir
Salt Lake City, UT 84108-2841
Phone
(801) 582-4567
NPI assigned
Oct 27, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 16, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 1465731205 UT Primary

Addresses

Primary practice location

2691 Roxbury Cir
Salt Lake City, UT 84108-2841

Mailing address

2691 Roxbury Cir
Salt Lake City, UT 84108-2841
Phone (801) 582-4567

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
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
1465731205UTMDUrology Physician

NPI Registry JSON

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

{
    "created_epoch": "1256601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786838400000",
    "number": "1851627756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2691 ROXBURY CIR",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841082841",
            "telephone_number": "801-582-4567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2691 ROXBURY CIR",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841082841",
            "telephone_number": "801-582-4567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANGELSON",
        "first_name": "NED",
        "middle_name": "LEGRANDE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-10-27",
        "last_updated": "2026-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "UT",
            "license": "1465731205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salt Lake City, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2026; 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.