Raymond Nasar Mansour, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

49045 Issued in CA

Practice address

343 E Lexington Ave Ste 102
El Cajon, CA 92020-4520

Phone

(619) 444-2191

Fax

(619) 444-3531

NPI assigned

Aug 29, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

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.

• Dr Raymond Mansour a Professional Dental Corp

  • Dental Clinic/Center
  • El Cajon, CA
  • NPI 1366908527
  NPD (past) Authorized official

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544054400000",
    "number": "1346359031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "343 E LEXINGTON AVE STE 102",
            "city": "EL CAJON",
            "state": "CA",
            "postal_code": "920204520",
            "telephone_number": "619-444-2191",
            "fax_number": "619-444-3531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "343 E LEXINGTON AVE STE 102",
            "city": "EL CAJON",
            "state": "CA",
            "postal_code": "920204520",
            "telephone_number": "619-444-2191",
            "fax_number": "619-444-3531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANSOUR",
        "first_name": "RAYMOND",
        "middle_name": "NASAR",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-29",
        "last_updated": "2018-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "49045",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Domenique Sherrell Manning
• Victoria Manousselis
• Melvin Mark Mansoor, DMD
• David Mansour, DO
• Rana Mansour, D.P.M.
• Sabah Noori Mansour
• Wasim Mansour, D.O.
• Tamara Mansy, MD
• Mariel Anne Manuel, SLP
• Manzanita Health Department

• Dentist in El Cajon, CA
• Providers in El Cajon, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 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.