Ahmad Mousabakhit Al Manasir, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

28839 Issued in TX

Practice address

4533 Los Feliz Blvd
Apt 310
Los Angeles, CA 90027-2057

Phone

(714) 553-5802

NPI assigned

May 14, 2013

Last updated

Sep 13, 2016By the provider in NPPES

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

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

{
    "created_epoch": "1368489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473724800000",
    "number": "1417393729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 N CONWAY AVE",
            "address_2": "APT 310",
            "city": "MISSION",
            "state": "TX",
            "postal_code": "785725361",
            "telephone_number": "956-585-2000",
            "fax_number": "956-585-2001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4533 LOS FELIZ BLVD",
            "address_2": "APT 310",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900272057",
            "telephone_number": "714-553-5802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AL MANASIR",
        "first_name": "AHMAD",
        "middle_name": "MOUSABAKHIT",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-05-14",
        "last_updated": "2016-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "28839",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shaima Al Fardan, M.A.
• Samer Bassam Odeh Al Haddadin, PHARMD, J.D.
• Salwan Naji Al Hani, MD
• Alsadiq Waleed Mohammad Al Hillan
• Shahed Al Khalifah, BDS, MS
• Zainab Majid Al Obaidi, MD
• Mariam Alaa Al Shakarchi
• Khalid Rabia Hassan Al Shamousi, MD, FRCPC
• Yousef Al Srouji, RPH
• Mohamed Al Thahabi

• General Practice Dentistry in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2016; 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.