Active NPI
Jacob Mann, D.D.S.
- Orthodontics and Dentofacial Orthopedics Dentistry
- Palm Beach Gardens, FL
National Provider Identifier
1972860393
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- 21545
- Practice address
- 10887 N Military TRL
Suite 1
Palm Beach Gardens, FL 33410-6528 - Phone
- (561) 622-3339
- NPI assigned
- Apr 23, 2012
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 21545 | FL | Primary |
Addresses
Primary practice location
10887 N Military TRL
Suite 1
Palm Beach Gardens, FL 33410-6528
Mailing address
10887 N Military TRL
Suite 1
Palm Beach Gardens, FL 33410-6528
Phone (734) 272-6606
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21545 | FL | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1335139200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1449014400000",
"number": "1972860393",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10887 N MILITARY TRL",
"address_2": "SUITE 1",
"city": "PALM BEACH GARDENS",
"state": "FL",
"postal_code": "334106528",
"telephone_number": "734-272-6606"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10887 N MILITARY TRL",
"address_2": "SUITE 1",
"city": "PALM BEACH GARDENS",
"state": "FL",
"postal_code": "334106528",
"telephone_number": "561-622-3339"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANN",
"first_name": "JACOB",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-04-23",
"last_updated": "2015-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "FL",
"license": "21545",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Palm Beach Gardens, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.