MANGELSDORF FAMILY DENTISTRY (NPI# 1174707772) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174707772 |
| Entity Type | Organization |
| Organization Name | MANGELSDORF FAMILY DENTISTRY |
| Practice Address |
2249 Hualapai Mountain Rd Ste A Kingman AZ 86401-8321 |
| Practice Telephone | 9287182136 |
| Practice Fax Number | 9287182137 |
| Mailing Telephone | 9287182136 |
| Mailing Fax Number | 9287182137 |
| Enumeration Date | 2007-12-19 |
| Last Update Date | 2007-12-19 |
| Authorized Official Name | DR. TIMOTHY WILLIAM MANGELSDORF (DENTIST) |
| Authorized Official Telephone | 9287182136 |
| Authorized Official Credential | D.D.S. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
3751 | AZ | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | NPI FOR INDIVIDUAL | 1619924669 | 01 |
| Street Address |
2249 HUALAPAI MOUNTAIN RD STE A |
| City | KINGMAN |
| State | AZ |
| Zip Code | 86401-8321 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053858704 | Robert Cole | Nurse Practitioner | 3545 Cheyenne Ave, King,an, AZ 86401 | 2017-01-19 |
| 1710420286 | Acadia Healthcare Inc | Nurse Practitioner | 2699 E Andy Devine, Suite B, Kingman, AZ 86401 | 2016-11-30 |
| 1174079800 | Kenneth Mcadow | Physical Therapist | 2404 Stockton Hill Road, Suite K, Kingman, AZ 86401 | 2016-09-01 |
| 1649659483 | Tracie Hirz | Case Manager/Care Coordinator | 3656 Packsaddle Road, Kingman, AZ 86401 | 2015-05-27 |
| 1548657695 | Chelsea Presbrey | Family Medicine | 2202 N Stockton Hill Rd Ste 100, Kingman, AZ 86401 | 2015-04-15 |
| 1649617226 | Abubakr Abdelmunim Tagelsir Abdelaziz | Internal Medicine | 2501 N Stockton Hill Rd Ste 102, Kingman, AZ 86401 | 2013-05-23 |
| 1205173325 | Patricia Jean Marko | Social Worker | 2002 Stockton Hill Road, Mohave Mental Health Clinic, Inc., Kingman, AZ 86401 | 2013-01-09 |
| 1770835316 | Hae Young Lee | Dentist | 2058 Maya Dr., Kingman, AZ 86401 | 2012-10-05 |
| 1255681623 | Hilary Radler | Specialist/Technologist | 3033 Macdonald, Kingman, AZ 86401 | 2012-09-13 |
| 1477836880 | Goodwill of Northern Arizona | Exclusive Provider Organization | 2369 Airway Avenue, Kingman, AZ 86401 | 2011-09-21 |
| Find all providers in zip 86401 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144832940 | Kingman Dental Professionals, LLC | Clinic/Center | 3775 N Stockton Hill Rd, Kingman, AZ 86409-3219 | 2020-08-21 |
| 1427528009 | Tyler T Tatton Dds PC | Clinic/Center | 988 Sycamore Ave, Kingman, AZ 86409 | 2018-11-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568063329 | Trombetta Dental Solutions | Clinic/Center | 13808 N Sandario Rd Ste 100, Marana, AZ 85653-8940 | 2020-11-06 |
| 1629676903 | Dental and Braces Dysart LLC | Clinic/Center | 1450 N Dysart Rd Ste A7, Avondale, AZ 85323-1534 | 2020-10-09 |
| 1255946257 | Tatum Point Dentistry LLC | Clinic/Center | 4747 E Bell Rd Ste 15, Phoenix, AZ 85032-2301 | 2020-09-15 |
| 1003421009 | Solterra Dentistry LLC | Clinic/Center | 15255 N 40th St Ste 111, Phoenix, AZ 85032-4636 | 2020-09-15 |
| 1699389510 | Ocotillo Dental Associates LLC | Clinic/Center | 11259 S Frontage Rd Ste 103, Yuma, AZ 85367-7883 | 2020-09-08 |
| 1336751536 | Smile Nuvo | Clinic/Center | 2142 W Red Fox Rd, Phoenix, AZ 85085-5458 | 2020-08-19 |
| 1396354205 | Freedom Dental, Pllc | Clinic/Center | 6328 E Brown Rd Ste 105, Mesa, AZ 85205-4841 | 2020-07-27 |
| 1649888629 | Whitney A Sebree, Dmd Pllc | Clinic/Center | 15331 W Bell Rd Ste 204, Surprise, AZ 85374-4104 | 2020-07-16 |
| 1912520347 | Dr. Reese Turner, Dds, PC | Clinic/Center | 9059 W Lake Pleasant Pkwy Ste A100, Peoria, AZ 85382-8393 | 2020-05-20 |
| 1942821301 | Family and Kids Dental LLC | Clinic/Center | 2610 W Baseline Rd Ste 120, Phoenix, AZ 85041-6400 | 2020-04-27 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.