NPIMap

Organization Active NPI

Philip M Mansour DMD PLLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Goffstown, NH
National Provider Identifier
1548325681
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
2436 Issued in NH
Legal business name
PHILIP M MANSOUR DMD PLLC
Practice address
89 South Mast St
Goffstown, NH 03045
Phone
(603) 417-4605
Fax
(603) 497-3327
NPI assigned
Dec 27, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Philip M Mansour, DMDNPI 1306901897
Title
Member
Phone
(603) 497-4605

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 2436 NH Primary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 17193 MA

Addresses

Primary practice location

89 South Mast St
Goffstown, NH 03045

Mailing address

89 South Mast St
Goffstown, NH 03045
Phone (603) 417-4605

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1167177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1548325681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "89 SOUTH MAST ST",
            "city": "GOFFSTOWN",
            "state": "NH",
            "postal_code": "03045",
            "telephone_number": "603-417-4605",
            "fax_number": "603-497-3327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "89 SOUTH MAST ST",
            "city": "GOFFSTOWN",
            "state": "NH",
            "postal_code": "03045",
            "telephone_number": "603-417-4605",
            "fax_number": "603-497-3327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHILIP M MANSOUR DMD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MANSOUR",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "603-497-4605",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NH",
            "license": "2436",
            "primary": true
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "MA",
            "license": "17193",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Goffstown, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.