Active NPI
Nousheen Baig Manzoor, D.M.D
- General Practice Dentistry
- Mayfield Heights, OH
National Provider Identifier
1629401146
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 30-024064
- Practice address
- 5800 Landerbrook Dr
Suite 200
Mayfield Heights, OH 44124-6509 - Phone
- (440) 446-1555
- Fax
- (440) 446-1990
- NPI assigned
- Aug 20, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 30-024064 | OH | Primary |
Addresses
Primary practice location
5800 Landerbrook Dr
Suite 200
Mayfield Heights, OH 44124-6509
Mailing address
5800 Landerbrook Dr
Suite 200
Mayfield Heights, OH 44124-6509
Phone (440) 446-1555
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
| License | State | Type | Specialty |
|---|---|---|---|
| 30-024064 | OH | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1376956800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1376956800000",
"number": "1629401146",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5800 LANDERBROOK DR",
"address_2": "SUITE 200",
"city": "MAYFIELD HEIGHTS",
"state": "OH",
"postal_code": "441246509",
"telephone_number": "440-446-1555",
"fax_number": "440-446-1990"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5800 LANDERBROOK DR",
"address_2": "SUITE 200",
"city": "MAYFIELD HEIGHTS",
"state": "OH",
"postal_code": "441246509",
"telephone_number": "440-446-1555",
"fax_number": "440-446-1990"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANZOOR",
"first_name": "NOUSHEEN",
"middle_name": "BAIG",
"name_prefix": "Dr.",
"credential": "D.M.D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-08-20",
"last_updated": "2013-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "OH",
"license": "30-024064",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mayfield Heights, OH
- Erica Susanne Majernik, NNP-BC
- Simee I Malik, MD
- Jane F Manno, PSY.D
- Manor Care of Mayfield Heights Oh LLC (ManorCare Health Services - Mayfield Heights)
- Aleona K Manto, APRN
- Grace Maragos, MS, RDN, LD
- Trent Benjamin Marburger
- Marc Glassman Inc (Marcs)
- Emma Marchal, PT, DPT
- Marcia Bremenour LPCC, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.