Kelly Mangrum, D.D.S

ActiveIndividual ProviderDentistry
NPI issued: August 19, 2008

Quick Facts

NPI Number
1396992699
TypeIndividual
StatusActive
SpecialtyDentistry
Taxonomy1223G0001X — Dentistry
Phone
(801) 943-6880
StateUT

NPI Validation Status: Verified

Valid 10-digit NPI number (1396992699)
Active status confirmed
Verified by CMS NPPES Registry
HIPAA compliant identifier
Enumeration date on file (August 19, 2008)
Data source: CMS NPPES

Provider Overview

KELLY MANGRUM, D.D.S is a Dentistry provider based in Cottonwood Heights, UT who has been registered with CMS since 2008. This NPI is currently Active under CMS NPPES registry.

Provider Details

NPI Number1396992699
Provider TypeIndividual Provider
GenderMale
CredentialD.D.S
StatusActive
Enumeration DateAugust 19, 2008

Practice Location

CityCottonwood Heights
StateUT
ZIP Code84121-3704
Phone(801) 943-6880

Specialties & Licenses

★ Primary
SpecialtyDentistry
Taxonomy Code1223G0001X
License StateUT

Mailing Address

CityCottonwood Heights
StateUT
ZIP Code84121-3704
Phone(801) 943-6880
Same as practice location

How to Use This NPI

📋

For Insurance Billing

Use NPI 1396992699 in Box 33 of the CMS-1500 claim form. This number is required by all major insurance carriers to identify the billing provider and process electronic medical claims.

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For Credentialing

Reference NPI 1396992699for provider credential verification. Hospital systems, state licensing boards, and CAQH directories query this number to verify the provider's active clinical status.

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For Patients

Share NPI 1396992699 with your insurance company. If you need to verify out-of-network benefits or file a reimbursement claim, your insurance provider will require this number to process it.

About Dentistry

Specialists in Dentistry provide expert clinical care within their specific domain, focusing on the diagnosis, treatment, and management of conditions relevant to their field of practice.

📊
174,905
Dentistry Providers in the US

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People Also Ask

What is Kelly Mangrum's NPI number?
Kelly Mangrum's NPI number is 1396992699, a unique 10-digit identifier issued by the Centers for Medicare & Medicaid Services (CMS).
Is Kelly Mangrum's NPI currently active?
Yes, Kelly Mangrum's NPI status is Active as of the latest CMS NPPES database updates.
What does Kelly Mangrum specialize in?
Kelly Mangrum specializes in Dentistry. The healthcare taxonomy code associated with this specialty is 1223G0001X.
Where does Kelly Mangrum practice?
Kelly Mangrum practices in Cottonwood Heights, UT 84121-3704.
When was Kelly Mangrum's NPI issued?
Kelly Mangrum's NPI was issued on August 19, 2008.
What is Kelly Mangrum's provider type?
Kelly Mangrum is registered as an Individual Provider under CMS NPI Type 1.