Ahmed Manassra, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

106754 Issued in CA

Practice address

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

Phone

(408) 913-5946

NPI assigned

Aug 1, 2021

Last updated

May 21, 2025By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Ahmed Manassra DMD PC

  dba Manassra Dental

  • Dental Clinic/Center
  • San Jose, CA
  • NPI 1083404073
  NPD Authorized official

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

{
    "created_epoch": "1627776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747785600000",
    "number": "1164195475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1102 S ABEL ST APT 332",
            "city": "MILPITAS",
            "state": "CA",
            "postal_code": "950359043",
            "telephone_number": "408-913-5946"
        },
        {
            "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": "408-913-5946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANASSRA",
        "first_name": "AHMED",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-08-01",
        "last_updated": "2025-05-21",
        "certification_date": "2025-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "106754",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "106754",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Martha Chung-Sang Man, MD
• Anna Dee Trinidad Manalad, D.M.D.
• Michael Mayrina Manalastas, DDS
• Albert Manalo
• Vincent Raphael Manalo, PHARMD
• Briana Mancenido, MD
• Daniel Orlando Mancia
• Paul Mancil
• Tania Mancilla Aceves
• Melissa Deanne Mancini, RN

• General Practice Dentistry in San Jose, CA
• Providers in San Jose, CA by specialty
• General Practice Dentistry in California

• 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.