Iman Dental Center

Primary specialty

DentistTaxonomy code 122300000X

License

28839 Issued in TX

Legal business name

IMAN DENTAL CENTER

Practice address

801 N Conway Ave
Mission, TX 78572-5361

Phone

(714) 553-5802

NPI assigned

Dec 15, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Ahmand Al Manasir, DDS

Title

DDS/Owner

Phone

(714) 553-5802

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1418601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418601600000",
    "number": "1285032789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 N CONWAY AVE",
            "city": "MISSION",
            "state": "TX",
            "postal_code": "785725361",
            "telephone_number": "714-553-5802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 N CONWAY AVE",
            "city": "MISSION",
            "state": "TX",
            "postal_code": "785725361",
            "telephone_number": "714-553-5802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMAN DENTAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-15",
        "last_updated": "2014-12-15",
        "status": "A",
        "authorized_official_last_name": "AL MANASIR",
        "authorized_official_first_name": "AHMAND",
        "authorized_official_title_or_position": "DDS/OWNER",
        "authorized_official_telephone_number": "714-553-5802",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "TX",
            "license": "28839",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1417393729",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Dentist in Mission, TX
• Providers in Mission, TX by specialty
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 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.