Active NPI
Paul Robert Mann, D.D.S.
- Dentist
- Raymore, MO
National Provider Identifier
1972632685
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 014710
- Practice address
- 1286 W Foxwood Dr
Raymore, MO 64083-8300 - Phone
- (816) 322-7668
- Fax
- (816) 322-7672
- NPI assigned
- Mar 6, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 014710 | MO | Primary |
Addresses
Primary practice location
1286 W Foxwood Dr
Raymore, MO 64083-8300
Mailing address
3351 NE Ralph Powell Rd
Lees Summit, MO 64064-2368
Phone (816) 554-7373
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
- Opted out of Medicare
- Previously, effective Aug 14, 2014 through Aug 14, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 014710 | MO | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Paul R. Mann, D.D.S., P.C. | Past | Accepting new patients | |
| Gatti & Mann DDS PC | Dentist | Past | Accepting new patients |
| Gatti & Mann DDS PC | Dentist | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Dentist
- Lees Summit, MO
- NPI 1326101338
-
- Endodontics
- Raymore, MO
- NPI 1932333788
-
- Dentist
- Lees Summit, MO
- NPI 1699839324
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173139200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1241654400000",
"number": "1972632685",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3351 NE RALPH POWELL RD",
"city": "LEES SUMMIT",
"state": "MO",
"postal_code": "640642368",
"telephone_number": "816-554-7373",
"fax_number": "816-554-7381"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1286 W FOXWOOD DR",
"city": "RAYMORE",
"state": "MO",
"postal_code": "640838300",
"telephone_number": "816-322-7668",
"fax_number": "816-322-7672"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANN",
"first_name": "PAUL",
"middle_name": "ROBERT",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-06",
"last_updated": "2009-05-07",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MO",
"license": "014710",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Raymore, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2009; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.