Natalie Mansour DMD Dental Corp

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

49374 Issued in CA

Legal business name

NATALIE MANSOUR DMD DENTAL CORP

Practice address

709 S Central Ave
Suite a
Glendale, CA 91204-2010

Phone

(818) 500-7330

Fax

(818) 500-7340

NPI assigned

May 23, 2007

Last updated

Dec 10, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Natalie Chantal Mansour, DMDNPI 1497850002

Title

President

Phone

(310) 902-7775

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Natalie Chantal Mansour, D.M.D.

  • Pediatric Dentistry
  • Glendale, CA
  • NPI 1497850002
  Authorized official Same address or phone
• Marie Claire Mansour, DMD, MS

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Glendale, CA
  • NPI 1134227796
  NPD (past)

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418169600000",
    "number": "1154531432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 CLINTON PL",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902101917",
            "telephone_number": "310-902-7775",
            "fax_number": "310-858-8333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "709 S CENTRAL AVE",
            "address_2": "SUITE A",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912042010",
            "telephone_number": "818-500-7330",
            "fax_number": "818-500-7340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATALIE MANSOUR DMD DENTAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-23",
        "last_updated": "2014-12-10",
        "status": "A",
        "authorized_official_last_name": "MANSOUR",
        "authorized_official_first_name": "NATALIE",
        "authorized_official_middle_name": "CHANTAL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-902-7775",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CA",
            "license": "49374",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dena Rafiq Nasir, MD
• Deeann Nason, DC
• Ali Nassiri, DO
• James A Nassiri, MD, MA
• Natalie Hogue D.D.S.
• Natalie Seiser MD, Inc.
• Natalya Shagramanova D.D.S. Inc.
• Prasanta Kumar Nath, MD
• National Health Foundation
• National Home Health, Inc.

• Pediatric Dentistry in Glendale, CA
• Providers in Glendale, CA by specialty
• Pediatric Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2014; 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.