Individual provider Active NPI

Mina Abd, DMD

  • Dentist
  • Warren, MI
National Provider Identifier
1528704129
Registry record updated Aug 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
2901602774 Issued in MI
Practice address
28633 Hoover Rd
Warren, MI 48093-4105
Phone
(586) 751-3950
NPI assigned
May 7, 2022
Last updated
Aug 10, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 30.027083 OH
Dentist 122300000X 2901602774 MI Primary

Addresses

Primary practice location

28633 Hoover Rd
Warren, MI 48093-4105

Mailing address

3900 S Creek Dr
Rochester, MI 48306-1479
Phone (248) 835-2708

Other practice location 1

1044 Belmont Ave
Youngstown, OH 44504-1006
Phone (330) 480-3195

Other practice location 2

341 Graff Rd SE
New Philadelphia, OH 44663-3889
Phone (330) 578-4362

Other practice location 3

4647 Ridge Rd
Brooklyn, OH 44144-3318
Phone (216) 351-6600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220727000555 OH Order and Referring Only - DentistPractitioner - Dentist 0345622197

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2901602774MIMDDentist
30.027083OHMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr Nassif and Associates Inc PastSince Jul 1, 2023 Accepting new patients
DRS Marino Nassif & Associates Inc PastSince Jul 1, 2023 Accepting new patients
Maria Elena Manzor DDS, P.C. PastSince Aug 10, 2025 Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1651881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754784000000",
    "number": "1528704129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3900 S CREEK DR",
            "city": "ROCHESTER",
            "state": "MI",
            "postal_code": "483061479",
            "telephone_number": "248-835-2708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28633 HOOVER RD",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480934105",
            "telephone_number": "586-751-3950"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1044 Belmont Ave",
            "address_purpose": "LOCATION",
            "city": "Youngstown",
            "state": "OH",
            "postal_code": "445041006",
            "country_code": "US",
            "telephone_number": "330-480-3195",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "341 Graff Rd SE",
            "address_purpose": "LOCATION",
            "city": "New Philadelphia",
            "state": "OH",
            "postal_code": "446633889",
            "country_code": "US",
            "telephone_number": "330-578-4362",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4647 Ridge Rd",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "OH",
            "postal_code": "441443318",
            "country_code": "US",
            "telephone_number": "216-351-6600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ABD",
        "first_name": "MINA",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-05-07",
        "last_updated": "2025-08-10",
        "certification_date": "2025-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OH",
            "license": "30.027083",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901602774",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warren, MI

Sources for this page

Verify at the official NPI Registry.