Catherine Jean Mansdoerfer, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

0401414868 Issued in VA

Practice address

215 Roanoke St
Christiansburg, VA 24073-3025

Phone

(540) 381-0820

NPI assigned

Jun 4, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Miss Catherine Jean Christensen Former name

Medicare fee-for-service enrollment

Enrolled in VA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1433376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477872000000",
    "number": "1851771752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 ROANOKE ST",
            "city": "CHRISTIANSBURG",
            "state": "VA",
            "postal_code": "240733025",
            "telephone_number": "540-381-0820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 ROANOKE ST",
            "city": "CHRISTIANSBURG",
            "state": "VA",
            "postal_code": "240733025",
            "telephone_number": "540-381-0820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANSDOERFER",
        "first_name": "CATHERINE",
        "middle_name": "JEAN",
        "name_prefix": "Mrs.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-06-04",
        "last_updated": "2016-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "VA",
            "license": "0401414868",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CATHERINE",
            "last_name": "CHRISTENSEN",
            "middle_name": "JEAN",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Becky C Mann, O.D.
• Clare Ellen Mann, LMT
• William Joseph Mann, OD
• William Scott Mann, OPTOMETRIST
• Zeth Destin Manning
• Paul George Mardelli, MD
• Mark a. Ringold, MD Inc. (New River Valley Research Institute)
• Matthew T Marry, D.C.
• Martha L Anderson (Acft)
• Destiny Martin, MD

• Dentist in Christiansburg, VA
• Providers in Christiansburg, VA by specialty
• Dentist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.