NPIMap

Organization Active NPI

Malek K. Mansour, Anwaar R. Mansour and Yahya M. Mansour D.D.S., Inc.

  • General Practice Dentistry
  • Irvine, CA
National Provider Identifier
1033376587
Registry record updated Feb 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
29971 Issued in CA
Legal business name
MALEK K. MANSOUR, ANWAAR R. MANSOUR AND YAHYA M. MANSOUR D.D.S., INC.
Doing business as
Aava Dental of Irvine
Practice address
22 Odyssey
265
Irvine, CA 92618-7701
Phone
(949) 585-1515
Fax
(949) 585-1519
NPI assigned
May 21, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2013

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

Authorized official

Name
Dr. Malek Kamal Mansour, DDS,MAGD,PHD
Title
Dentist
Phone
(949) 585-1515

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 29971 CA Primary

Addresses

Primary practice location

22 Odyssey
265
Irvine, CA 92618-7701

Mailing address

22 Odyssey
265
Irvine, CA 92618-7701
Phone (949) 585-1515

Other names 1

  • Aava Dental of Irvine Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1211328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1360713600000",
    "number": "1033376587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 ODYSSEY",
            "address_2": "265",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926187701",
            "telephone_number": "949-585-1515",
            "fax_number": "949-585-1519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 ODYSSEY",
            "address_2": "265",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926187701",
            "telephone_number": "949-585-1515",
            "fax_number": "949-585-1519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MALEK K. MANSOUR, ANWAAR R. MANSOUR AND YAHYA M. MANSOUR D.D.S., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-21",
        "last_updated": "2013-02-13",
        "status": "A",
        "authorized_official_last_name": "MANSOUR",
        "authorized_official_first_name": "MALEK",
        "authorized_official_middle_name": "KAMAL",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "949-585-1515",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS,MAGD,PHD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "29971",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Aava Dental of Irvine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Irvine, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.