David Mandalinich, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

5312 Issued in NC

Practice address

1817 Pembroke Rd
Greensboro, NC 27408-7901

Phone

(336) 275-6144

Fax

(336) 373-0119

NPI assigned

Mar 8, 2006

Sex

Male

Sole proprietor

Yes

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 NC

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.

• Ganglani Pembroke PLLC

  • General Practice Dentistry
  • Greensboro, NC
  • NPI 1790483725
  NPD (past)
• Layth Saraf, DMD, PA

  • Dental Clinic/Center
  • Greensboro, NC
  • NPI 1770092017
  NPD (past)

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

{
    "created_epoch": "1141776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1206835200000",
    "number": "1982672929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1817 PEMBROKE RD",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274087901",
            "telephone_number": "336-275-6144",
            "fax_number": "336-373-0119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1817 PEMBROKE RD",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274087901",
            "telephone_number": "336-275-6144",
            "fax_number": "336-373-0119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANDALINICH",
        "first_name": "DAVID",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-08",
        "last_updated": "2008-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "5312",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael J. Malone, M.A., CCC-A
• Kathleen Helen Maloney, MA, LPA, HSP-PA
• Alix Malpass, DPT
• Leslie A Malueg, DMD
• Sabina Manandhar
• Eric M Mandel
• Manente NC, PC
• Manente NC, PC
• Carrie Bruno Maness, CRNA
• Jennie A Maness, PT

• General Practice Dentistry in Greensboro, NC
• Providers in Greensboro, NC by specialty
• General Practice Dentistry in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2008; 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.