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Alyssa Mann

Dentist - General Practice β€’ Fairchild Afb, WA

Active NPI 1760931216 Individual Practitioner Female Practitioner
Practice location in NPPES

92d Medical Group, 701 Hospital Loop Suite 350
Fairchild Afb, WA 99011

Call 5092474329 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

92d Medical Group
701 Hospital Loop Suite 350

Fairchild Afb, WA 99011

Telephone 5092474329

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2019–2025.

Guide: How to read an Open Payments record

NPI first issued

2016

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Fairchild Afb and Washington

4 active clinicians are listed under Dentist - General Practice with a practice address in Fairchild Afb, WA (3,198 in Washington).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2023-09-06
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

License # reported to NPPES MT DEN-DEN-LIC11600

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Washington State Department of Health Provider Lookup.
Look Up on State Board Site

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

8 Historical Events
πŸ“
Updated Practice Location September 07, 2023

Registered at 92D MEDICAL GROUP, 701 HOSPITAL LOOP SUITE 350, FAIRCHILD AFB, WA 99011 (Tel: 5092474329)

πŸ“
Updated Business Mailing Address September 07, 2023

Registered at 92D MEDICAL GROUP, 701 HOSPITAL LOOP SUITE 350, FAIRCHILD AFB, WA 99011 (Tel: 5092474329)

βœ…
NPI Profile Active September 26, 2016

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) September 26, 2016

Registered at 2600 MAIN ST STE 1, MILES CITY, MT 593013929 (Tel: 4062343536)

πŸ“
Business Mailing Address (Initial Record) September 26, 2016

Registered at 2600 MAIN ST STE 1, MILES CITY, MT 593013929 (Tel: 4062343536)

πŸ‘€
Provider Name / Credentials (Initial Record) September 26, 2016

Recorded as ALYSSA MANN

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) September 26, 2016

Dentist (license number reported to NPPES: MT DEN-DEN-LIC11600)

🟒
Initial NPI Registration & Enumeration September 26, 2016

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1760931216
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 26, 2016
Last Update: September 07, 2023
Sole Proprietor: No

Mailing Address

92d Medical Group, 701 Hospital Loop Suite 350

Fairchild Afb, WA 99011

Phone: 5092474329

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.