Richard Mandel, DDS

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

DK21384 Issued in CA

Practice address

801 N Tustin Ave
Suite 705
Santa Ana, CA 92705-3611

Phone

(714) 835-8873

Fax

(714) 835-0402

NPI assigned

Mar 28, 2013

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Richard a Mandel, DDS Inc

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Santa Ana, CA
  • NPI 1720091630
  NPD (past) Authorized official
• Austin D Hoover DDS Dental Corporation

  • Dental Clinic/Center
  • Santa Ana, CA
  • NPI 1962850602
  NPD (past)

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

{
    "created_epoch": "1364428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1364428800000",
    "number": "1851634869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 N TUSTIN AVE",
            "address_2": "SUITE 705",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927053611",
            "telephone_number": "714-835-8873",
            "fax_number": "714-835-0402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 N TUSTIN AVE",
            "address_2": "SUITE 705",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927053611",
            "telephone_number": "714-835-8873",
            "fax_number": "714-835-0402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANDEL",
        "first_name": "RICHARD",
        "name_prefix": "Mr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-03-28",
        "last_updated": "2013-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "CA",
            "license": "DK21384",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jenniffer Ann Manavi, M.A.
• Chandrakant R. Manchandia, D.D.S
• Aloke Kumar Mandal, M.D., PH.D.
• Celina Mande
• Samira Mandegary
• Alma Mandujano
• Eleazar Jason Pineda Mangilit, M.S., BCBA
• Jennifer Manning, P.T.
• Brianna Marie Manns
• Aina Elsa Manoj

• Oral and Maxillofacial Surgery (Dentist) in Santa Ana, CA
• Providers in Santa Ana, CA by specialty
• Oral and Maxillofacial Surgery (Dentist) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2013; 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.