George C. Mansfield IV, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

12010240A Issued in IN

Practice address

201 W Tipton St
Seymour, IN 47274-2345

Phone

(812) 523-4545

Fax

(812) 523-4546

NPI assigned

Jul 26, 2006

Last updated

Jan 3, 2017By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Enrolled in IN

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Seymour Family Dentistry, Inc.

  • General Practice Dentistry
  • Seymour, IN
  • NPI 1255418091
  NPD (past)

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1483401600000",
    "number": "1871516989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 W TIPTON ST",
            "city": "SEYMOUR",
            "state": "IN",
            "postal_code": "472742345",
            "telephone_number": "812-523-4545",
            "fax_number": "812-523-4546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 W TIPTON ST",
            "city": "SEYMOUR",
            "state": "IN",
            "postal_code": "472742345",
            "telephone_number": "812-523-4545",
            "fax_number": "812-523-4546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANSFIELD",
        "first_name": "GEORGE",
        "middle_name": "C.",
        "name_suffix": "IV",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-26",
        "last_updated": "2017-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IN",
            "license": "12010240A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lutheran Community Home, Inc.
• Luke Lyvers
• Jeanne Madden, CRNA
• Andrea Marie Maley, NP
• Michael J Malnofski, MD
• Marcia J. Monroe,O.D.,Inc
• Darcy L Marr, M.D.
• Amber Detri Marshall, LPN
• Jordan C. Maryfield, M.D.
• Susan M. Maurer, MD

• General Practice Dentistry in Seymour, IN
• Providers in Seymour, IN by specialty
• General Practice Dentistry in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2017; 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.