Asma Mamsa, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

DN16387 Issued in FL

Practice address

2324 Fortune Rd
Kissimmee, FL 34744-3993

Phone

(407) 348-2002

Fax

(407) 348-2009

NPI assigned

Apr 12, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

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

Enrolled in FL

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

Medicare enrollment (NPD)

Enrolled

Practice roles

Networks

• Freedom Health HMO Network

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.

• House of Cosmetic Dentistry

  dba Fortune Dental

  • Dentist
  • Kissimmee, FL
  • NPI 1740568187
  NPD (past)

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

{
    "created_epoch": "1176336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1639393721",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2324 FORTUNE RD",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347443993",
            "telephone_number": "407-348-2002",
            "fax_number": "407-348-2009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2324 FORTUNE RD",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347443993",
            "telephone_number": "407-348-2002",
            "fax_number": "407-348-2009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAMSA",
        "first_name": "ASMA",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN16387",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kayla Ellen Mallare
• Shelby Ann Malone, FNP-BC
• Kelly David Malpas, PA-C
• Fatma Rajab Mama, PMHNP
• Abdul R H Mamsa, M.D
• Carol Mancero, MD
• Elisa Paola Mancini
• Maria Teresa Mancini
• Chelsie Kayten Mangum, ARNP
• Steven J. Manikowski, O.D.

• Dentist in Kissimmee, FL
• Providers in Kissimmee, FL by specialty
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.