Haifa Mansour, D.D.S., P.C.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2901017025 Issued in MI

Practice address

13967 Lakeside Cir
Sterling Heights, MI 48313-1319

Phone

(867) 886-4335

NPI assigned

Oct 11, 2006

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Dr. Haifa Mansour Professional name

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Sterling Dental Spa

  • General Practice Dentistry
  • Sterling Heights, MI
  • NPI 1568280089
  NPD Authorized official
• Haifa Mansour DDS,PC

  • General Practice Dentistry
  • Madison Heights, MI
  • NPI 1942580188
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727308800000",
    "number": "1013005214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27753 DEQUINDRE RD",
            "city": "MADISON HEIGHTS",
            "state": "MI",
            "postal_code": "480713477",
            "telephone_number": "248-582-8060",
            "fax_number": "248-582-8062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13967 LAKESIDE CIR",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483131319",
            "telephone_number": "867-886-4335"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "27753 Dequindre Rd",
            "address_purpose": "LOCATION",
            "city": "Madison Heights",
            "state": "MI",
            "postal_code": "480713477",
            "country_code": "US",
            "telephone_number": "248-582-8060",
            "fax_number": "248-582-8062",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MANSOUR",
        "first_name": "HAIFA",
        "name_prefix": "Dr.",
        "credential": "D.D.S., P.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-11",
        "last_updated": "2024-09-26",
        "certification_date": "2024-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901017025",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4642511",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "979396",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HAIFA",
            "last_name": "MANSOUR",
            "prefix": "DR.",
            "credential": "DDS",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Ramneet Mann
• Muslimah Mannan
• Manorcare Health Services, LLC
• Yousif Mansoor
• Fadhilah Mansor
• Lena Talal Mansour, MD.
• Remeen Mansour, RPH
• Manual Physical Therapy LLC
• Martin Manuel, PHARMD
• Vanessa Tagalicud Manuson, RN

• General Practice Dentistry in Sterling Heights, MI
• Providers in Sterling Heights, MI by specialty
• General Practice Dentistry in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.