HENRIETTE MAMBE TAGO DMD
NPI 1982493813
Dentist - General Practice in Youngstown, OH

Q: What is Henriette Mambe Tago's NPI number?

The NPI number for Henriette Mambe Tago is 1982493813. It was assigned to this individual provider in the NPPES registry on May 6, 2025.

Q: What is Henriette Mambe Tago's specialty?

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

Active since May 06, 2025PECOS Enrolled

1044 BELMONT AVE, YOUNGSTOWN, OH 44504(330) 746-7211 Get Directions Write a Review

NPPES record last updated: June 24, 2025. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Jun 24, 2025, May 6, 2025 (2 updates tracked since 2025).

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About Henriette Mambe Tago Dmd NPPES

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

HENRIETTE MAMBE TAGO DMD (NPI 1982493813) is an individual general practice provider in Youngstown, Ohio, licensed in Ohio (004924) and active in the NPI registry since May 2025. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1982493813

Entity TypeIndividualFemale

Primary Taxonomy1223G0001X

Provider Legal NameHENRIETTE MAMBE TAGOCredential: DMD

Location Address1044 BELMONT AVEYoungstown, OH 44504-1006

Mailing Address20 Barbara Ln Unit 83Las Vegas, NV 89183-5860

Phone(330) 746-7211

Sole ProprietorYes

Enumeration DateMay 6, 2025

Last NPPES UpdateJune 24, 20252 updates tracked since enumeration

NPPES CertifiedJune 24, 2025

✔ NPI 1982493813 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in OH · 004924

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.

1044 BELMONT AVE, Youngstown, OH 44504

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Henriette Mambe Tago Dmd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44504 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

$84.72 typical visit price

range $54.34 – $166.65

Typical copayment $21.18 (range $13.58 – $41.66)

Most-billed visit code 99203

Established Patient

$68.07 typical visit price

range $17.10 – $135.40

Typical copayment $17.01 (range $4.27 – $33.85)

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 20

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

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