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NPI · 1003853425 · NPPES-sourced

Edwin Mangram D.D.S.

ActiveDentist
NPI Number
1003853425
Type 1 · Individual
Taxonomy Code
122300000X
Contact
(872) 588-3000
License IL · 019-025445
Last Updated
About 13 years ago (Nov 2012)
Enumerated 2006-06-02
Primary practice addressIL · 60623-2460
3860 W Ogden AveChicago, IL 60623-2460
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About this NPIWhat this record shows.

NPI 1003853425 is registered to Edwin Mangram D.D.S., a Dentist practising at 3860 W Ogden Ave in Chicago, Illinois. Dentist is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy. Edwin Mangram D.D.S. has been enumerated in the National Provider Identifier (NPI) registry since 2006.

Provider type
Individual (Type 1)
Status
Active
Enumerated
2006-06-02
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Medicare enrollment

This provider holds a Medicare enrollment on file with the Provider Enrollment, Chain and Ownership System (PECOS). Each enrollment carries a public Medicare Enrollment ID (ENRLMT_ID) used by billers and intermediaries.

Order and Referring Only

Source: CMS PECOS public enrollment file.

Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Edwin Mangram D.D.S. accepts. To confirm in-network status with your specific health plan, contact Edwin Mangram D.D.S. directly at (872) 588-3000.

Frequently asked

Yes. NPI 1003853425 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Dentist is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (872) 588-3000.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Edwin Mangram D.D.S. is a Type-1 individual NPI.

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Quick facts

Provider typeIndividual
Taxonomy122300000X
Last updated2012-11
Enumerated2006-06-02
StatusActive
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