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MR. CHARLES STEVEN MANGAN III D.D.S.
NPI 1144365446
Dentist - General Practice in Little Rock, AR

Active since February 21, 2007Opted out of Medicare · through Apr 13, 2028
2011 N VAN BUREN ST, LITTLE ROCK, AR 72207(501) 666-1188(501) 666-1189 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Charles Steven Mangan Iii D.d.s. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. CHARLES STEVEN MANGAN III D.D.S. (NPI 1144365446) is an individual general practice provider in Little Rock, Arkansas, licensed in Arkansas (AR2807) and active in the NPI registry since February 2007. He has opted out of Medicare through April 13, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1144365446
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameMR. CHARLES STEVEN MANGAN IIICredential: D.D.S.
Location Address2011 N VAN BUREN STLittle Rock, AR 72207-4739
Mailing Address2011 N Van Buren StLittle Rock, AR 72207-4739 · (501) 666-1188 · Fax (501) 666-1189
Phone(501) 666-1188
Fax(501) 666-1189
Sole ProprietorYes
Enumeration DateFebruary 21, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1144365446 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in AR · AR2807
Definition
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.
2011 N VAN BUREN ST, Little Rock, AR 72207
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Other Identifiers 2

Other662941AR · United Concordia
Other58242AR · Blue Cross Blue Shield

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Mr. Charles Steven Mangan Iii D.d.s. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 13, 2016 through April 13, 2028.

Opt-Out Effective DateApril 13, 2016
Opt-Out In Effect ThroughApril 13, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 72207 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$79.72 typical visit price
range $51.36 – $157.74
Typical copayment $19.93 (range $12.84 – $39.43)
Most-billed visit code 99203
Established Patient
$64.56 typical visit price
range $16.16 – $128.77
Typical copayment $16.14 (range $4.04 – $32.19)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. LAUREN BRENN MARTIN DDS
Dentist (General Practice)
2011 N VAN BUREN ST
LITTLE ROCK, AR 72207
Pulaski County (501) 438-0282
STEVE MANGAN, D.D.S., P.A.
Dentist (General Practice)
2011 N VAN BUREN ST
LITTLE ROCK, AR 72207
Pulaski County (501) 666-1188

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Charles Mangan's NPI number?

The NPI number for Charles Mangan is 1144365446. It was assigned to this individual provider in the NPPES registry on February 21, 2007.

Where is Charles Mangan located?

Charles Mangan practices at 2011 N Van Buren St, Little Rock, AR 72207. The listed phone number is (501) 666-1188.

What is Charles Mangan's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Charles Mangan enrolled in Medicare?

No. Charles Mangan has opted out of Medicare through April 13, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Charles Mangan accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and Ambetter from Superior HealthPlan and 18 other insurers list Charles Mangan as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Charles Mangan was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.