Charles Mann, D.M.D

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

10061 Issued in MD

Practice address

2328 W Joppa Rd
Suite 102
Lutherville, MD 21093-4612

Phone

(410) 296-8050

Fax

(410) 296-8052

NPI assigned

Jul 7, 2006

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 MD

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 and National Provider Directory roles.

• Endodontics, P.a.

  • Endodontics
  • Lutherville, MD
  • NPI 1407969033
  NPD (past) Authorized official

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1942232046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 OLD LYME RD",
            "city": "LUTHERVILLE",
            "state": "MD",
            "postal_code": "210933719",
            "telephone_number": "410-560-0009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2328 W JOPPA RD",
            "address_2": "SUITE 102",
            "city": "LUTHERVILLE",
            "state": "MD",
            "postal_code": "210934612",
            "telephone_number": "410-296-8050",
            "fax_number": "410-296-8052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANN",
        "first_name": "CHARLES",
        "credential": "D.M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "MD",
            "license": "10061",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffrey L Magaziner, M.D.
• Eric Mahabir, PT, DPT
• Karl Peter Malicdem, OD
• Saroja Mallik, MD
• Jasmine Niquelle Manley, MD
• Annette Rossi Mannion, CPNP
• Paul Manson, M.D.
• Kathryn Marciniak, MS, CCC-SLP
• Kayla Mardaga, NP-C
• Kacie Marenga, CRNP

• Endodontics in Lutherville, MD
• Providers in Lutherville, MD by specialty
• Endodontics in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.