Organization Active NPI

Ahmed Manassra DMD PC

  • Dental Clinic/Center
  • San Jose, CA
National Provider Identifier
1083404073
Registry record updated May 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
AHMED MANASSRA DMD PC
Doing business as
MANASSRA DENTAL
Practice address
841 Blossom Hill Rd Ste 202
San Jose, CA 95123-2708
Phone
(408) 809-7760
NPI assigned
May 12, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2025

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

Authorized official

Name
Dr. Ahmed ManassraNPI 1164195475
Title
Ceo
Phone
(408) 913-5946

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

841 Blossom Hill Rd Ste 202
San Jose, CA 95123-2708

Mailing address

841 Blossom Hill Rd Ste 202
San Jose, CA 95123-2708
Phone (408) 809-7760

Other names 1

  • MANASSRA DENTAL Doing business as

National Provider Directory

National Provider Directory

Locations

841 Blossom Hill Rd
Ste 202
San Jose, CA 95123
Phone (408) 224-8266

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1747008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747785600000",
    "number": "1083404073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "841 BLOSSOM HILL RD STE 202",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951232708",
            "telephone_number": "408-809-7760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "841 BLOSSOM HILL RD STE 202",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951232708",
            "telephone_number": "408-809-7760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AHMED MANASSRA DMD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-12",
        "last_updated": "2025-05-21",
        "certification_date": "2025-05-21",
        "status": "A",
        "authorized_official_last_name": "MANASSRA",
        "authorized_official_first_name": "AHMED",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "408-913-5946",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MANASSRA DENTAL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Jose, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2025; 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.