Individual provider Active NPI

Gary C Mangieri, DMD

  • General Practice Dentistry
  • Pittsburgh, PA
National Provider Identifier
1891916904
Registry record updated May 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DS028205L Issued in PA
Practice address
800 Perry Highway
Suite #1
Pittsburgh, PA 15229-1116
Phone
(412) 366-0668
Fax
(412) 366-5057
NPI assigned
May 2, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DS028205L PA Primary

Addresses

Primary practice location

800 Perry Highway
Suite #1
Pittsburgh, PA 15229-1116

Mailing address

800 Perry Highway
Suite #1
Pittsburgh, PA 15229-1116
Phone (412) 366-0668

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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

Enrollment IDStateProvider typePAC IDDetails
I20160708001693 PA Order and Referring Only - DentistPractitioner - Dentist 7517259757

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DS028205LPAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Gary C Mangieri DMD PLLC Current Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1178064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651795200000",
    "number": "1891916904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 PERRY HIGHWAY",
            "address_2": "SUITE #1",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152291116",
            "telephone_number": "412-366-0668",
            "fax_number": "412-366-5057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 PERRY HIGHWAY",
            "address_2": "SUITE #1",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152291116",
            "telephone_number": "412-366-0668",
            "fax_number": "412-366-5057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANGIERI",
        "first_name": "GARY",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-02",
        "last_updated": "2022-05-06",
        "certification_date": "2022-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS028205L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.