Benjamin James Mancuso, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

7103 Issued in NE

Practice address

7337 Farnam St
Omaha, NE 68114-4627

Phone

(402) 490-9922

Fax

(402) 939-0330

NPI assigned

Jun 26, 2013

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• Mancuso Dental LLC

  • General Practice Dentistry
  • Omaha, NE
  • NPI 1356819122
  NPD Authorized official

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

{
    "created_epoch": "1372204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712793600000",
    "number": "1952741712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7337 FARNAM ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681144627",
            "telephone_number": "402-490-9922",
            "fax_number": "402-939-0330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7337 FARNAM ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681144627",
            "telephone_number": "402-490-9922",
            "fax_number": "402-939-0330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANCUSO",
        "first_name": "BENJAMIN",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-06-26",
        "last_updated": "2024-04-11",
        "certification_date": "2024-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NE",
            "license": "7103",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carey Lynn Mancilla
• Denisse Mancilla
• Rogelio Mancilla
• Mancuso Dental LLC
• Becky Lynn Mancuso-Oldehoeft, MPT.
• Gerald John Mancuso, D.D.S.
• Kerry Catherine Mancuso, APRN
• Martin M Mancuso, MD
• Julia Rose Manczurowsky, PT, DPT
• Anayelem Mandao II

• Dentist in Omaha, NE
• Providers in Omaha, NE by specialty
• Dentist in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2024; 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.