James Mancini, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS025567L Issued in PA

Practice address

600 Chestnut Street Ext
Bradford, PA 16701-2292

Phone

(814) 368-3123

NPI assigned

Jun 6, 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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PA

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.

• Bradford Regional Medical Services

  • Family Medicine Physician
  • Bradford, PA
  • NPI 1144273814

  General Practice

  NPD (past)
• Olean General Hospital

  dba Bradford Regional Medical Cener

  • Intermediate Emergency Medical Technician
  • Bradford, PA
  • NPI 1205091899
  NPD (past)

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

{
    "created_epoch": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1265328000000",
    "number": "1982643664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 159",
            "city": "BRADFORD",
            "state": "PA",
            "postal_code": "167010159",
            "telephone_number": "814-368-3123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 CHESTNUT STREET EXT",
            "city": "BRADFORD",
            "state": "PA",
            "postal_code": "167012292",
            "telephone_number": "814-368-3123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANCINI",
        "first_name": "JAMES",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-06",
        "last_updated": "2010-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS025567L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0011051320003",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rachael Elizabeth Lobdell, PHARMD
• Luis C Gonzalez MD
• Lynn Lunn
• Alliyson Marie Maduri, M.S., SLP-CCC/L
• Asim Makhdom, MD
• Maraposa Surgical Inc.
• Maria Fisher Enix
• Nicole Marker-Zewe, CRNP
• Jeana Marquez
• Luis B Marrero, MD

• General Practice Dentistry in Bradford, PA
• Providers in Bradford, PA by specialty
• General Practice Dentistry in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2010; 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.