Individual provider Active NPI

Noor Mansouri, BDS, MSD, CAGS

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • San Antonio, TX
National Provider Identifier
1376095059
Registry record updated Sep 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
38125 Issued in TX
Practice address
7975 FM 78 Unit 1
San Antonio, TX 78244-1892
Phone
(210) 900-8514
NPI assigned
Oct 28, 2016
Reactivated
Apr 8, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 38125 TX Primary

Addresses

Primary practice location

7975 FM 78 Unit 1
San Antonio, TX 78244-1892

Mailing address

7975 FM 78 Unit 1
San Antonio, TX 78244-1892
Phone (210) 900-8514

Other practice location 1

9262 Culebra Rd Ste 106
San Antonio, TX 78251-3574
Phone (210) 350-1221

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
38125TXMDOrthodontics and Dentofacial Orthopedic Dentist

NPI Registry JSON

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

{
    "created_epoch": "1477612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789603200000",
    "number": "1376095059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7975 FM 78 UNIT 1",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782441892",
            "telephone_number": "210-900-8514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7975 FM 78 UNIT 1",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782441892",
            "telephone_number": "210-900-8514"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9262 Culebra Rd Ste 106",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782513574",
            "country_code": "US",
            "telephone_number": "210-350-1221",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MANSOURI",
        "first_name": "NOOR",
        "name_prefix": "Dr.",
        "credential": "BDS, MSD, CAGS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-28",
        "last_updated": "2026-09-17",
        "certification_date": "2026-09-17",
        "deactivation_date": "2017-06-01",
        "reactivation_date": "2022-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "TX",
            "license": "38125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2026; 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.