David Mansour, D.M.D.

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

DN 17959 Issued in FL

Practice address

914 Emmett St
Kissimmee, FL 34741-5436

Phone

(407) 846-2150

Fax

(407) 846-1960

NPI assigned

Jul 21, 2007

Sex

Male

Sole proprietor

No

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

State licenses

Practice roles

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.

• Craig C. Lewis, D.D.S., P.a.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Kissimmee, FL
  • NPI 1598882367
  NPD (past)

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

{
    "created_epoch": "1184976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314835200000",
    "number": "1194925701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "914 EMMETT ST",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347415436",
            "telephone_number": "407-846-2150",
            "fax_number": "407-846-1960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "914 EMMETT ST",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347415436",
            "telephone_number": "407-846-2150",
            "fax_number": "407-846-1960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANSOUR",
        "first_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-21",
        "last_updated": "2011-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN 17959",
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "FL",
            "license": "DN 17959",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ferdinand Christopher Manlio, DO
• Mohammad Ahmad Manna, RPH
• Leny Carolina Manrique Auli
• Gustavo A. Manrique Pico, APRN
• Kenneth Paul Manselle, PA-C
• Marina Mansour, PHARMD
• Manton Transportation LLC
• Ericka Betania Manukian Martinez
• Boran Mao, MD
• Mileidy Maqueira

• Orthodontics and Dentofacial Orthopedics Dentistry in Kissimmee, FL
• Providers in Kissimmee, FL by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2011; 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.