John D Mancini DDS PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

JOHN D MANCINI DDS PC

Practice address

1415 S Lakeview Ave
Sturgis, MI 49091-2350

Phone

(269) 651-6345

NPI assigned

Oct 13, 2016

Organization subpart

No

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

Authorized official

Name

Dr. John D Mancini

Title

President

Phone

(269) 651-6345

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• John Thomas Mancini, DMD

  • Dentist
  • Midvale, UT
  • NPI 1497693451
  NPD (past)

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

{
    "created_epoch": "1476316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476316800000",
    "number": "1922558964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1415 S LAKEVIEW AVE",
            "city": "STURGIS",
            "state": "MI",
            "postal_code": "490912350",
            "telephone_number": "269-651-6345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1415 S LAKEVIEW AVE",
            "city": "STURGIS",
            "state": "MI",
            "postal_code": "490912350",
            "telephone_number": "269-651-6345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN D MANCINI DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-13",
        "last_updated": "2016-10-13",
        "status": "A",
        "authorized_official_last_name": "MANCINI",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "269-651-6345",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE IDENTIFICATION NUMBER (PTAN)",
            "identifier": "P05230001",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• April Hurley
• Illume Wellness Group
• James H McClain (Midwest Foot & Ankle Clinic)
• Kristen Jenkot
• JM Dental Group, PC (Keep MI Smile)
• John Robert Clark MD PC
• Amanda Marie Johnson
• K.M. Hoyt OD PLLC
• Joann Kamm
• Yi-Cheng Kao

• General Practice Dentistry in Sturgis, MI
• Providers in Sturgis, MI by specialty
• General Practice Dentistry in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2016; 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.