NPIMap

Organization Active NPI

Marie Mansour DMD, Ms Dental Corp

Doing business as Central Orthodontics

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Glendale, CA
National Provider Identifier
1851501134
Registry record updated Apr 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
51283 Issued in CA
Legal business name
MARIE MANSOUR DMD, MS DENTAL CORP
Doing business as
Central Orthodontics
Practice address
709 S Central Ave # B
Suite B
Glendale, CA 91204-2010
Phone
(818) 500-7030
Fax
(818) 500-7040
NPI assigned
May 23, 2007
Last updated
Apr 11, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2013

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

Authorized official

Name
Dr. Marie Claire Mansour, DMD, MSNPI 1134227796
Title
President
Phone
(818) 500-7030

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 51283 CA Primary

Addresses

Primary practice location

709 S Central Ave # B
Suite B
Glendale, CA 91204-2010

Mailing address

709 S. Central Ave #B
Glendale, CA 91204
Phone (818) 500-7030

Other names 1

  • Central Orthodontics Doing business as

National Provider Directory

National Provider Directory

Locations

709 S Central Ave
#B
Glendale, CA 91204
Phone (818) 500-7030

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": "1179878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1365638400000",
    "number": "1851501134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "709 S. CENTRAL AVE #B",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "91204",
            "telephone_number": "818-500-7030",
            "fax_number": "818-500-7040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "709 S CENTRAL AVE # B",
            "address_2": "SUITE B",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912042010",
            "telephone_number": "818-500-7030",
            "fax_number": "818-500-7040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIE MANSOUR DMD, MS DENTAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-23",
        "last_updated": "2013-04-11",
        "status": "A",
        "authorized_official_last_name": "MANSOUR",
        "authorized_official_first_name": "MARIE",
        "authorized_official_middle_name": "CLAIRE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-500-7030",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD, MS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CA",
            "license": "51283",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Central Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Glendale, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 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.

Verify at the official NPI Registry.