Mansour Dental Corp

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

MANSOUR DENTAL CORP

Doing business as

Axiom Dental Care

Practice address

16 Ivanhoe
Irvine, CA 92602-2034

Phone

(323) 489-7717

Fax

(323) 489-7718

NPI assigned

Mar 8, 2018

Last updated

Mar 8, 2018By 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. Yahya Malek Mansour, DDS

Title

Owner/Ceo

Phone

(951) 201-0144

Specialties & licenses 1

Addresses

Other names 1

• Axiom Dental Care Doing business as

Practitioners 1

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.

• Malek K. Mansour, D.D.S., M.A.G.D. PHD

  • General Practice Dentistry
  • Irvine, CA
  • NPI 1962562306
  NPD

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

{
    "created_epoch": "1520467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1520467200000",
    "number": "1275036931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 IVANHOE",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926022034",
            "telephone_number": "714-222-2261",
            "fax_number": "323-489-7718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 IVANHOE",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926022034",
            "telephone_number": "323-489-7717",
            "fax_number": "323-489-7718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANSOUR DENTAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-08",
        "last_updated": "2018-03-08",
        "status": "A",
        "authorized_official_last_name": "MANSOUR",
        "authorized_official_first_name": "YAHYA",
        "authorized_official_middle_name": "MALEK",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "951-201-0144",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Axiom Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Grace Manning
• Harold Paul Manrique, MPT
• Priscilla Manriquez
• Velta Marilyn Mansfield
• Paul M Mansonhing, M.D.
• Anwaar Ragheb Mansour, D.D.S.
• Malek K. Mansour, D.D.S., M.A.G.D. PHD
• Yahya Malek Mansour, MS DDS
• Ali Reza Mansouri, DDS
• Fay Mansouri, D.D.S.

• Dentist in Irvine, CA
• Providers in Irvine, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2018; 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.