NPIMap

Organization Active NPI

Haifa Mansour DDS,PC

Doing business as neighborhood family dentistry

  • General Practice Dentistry
  • Madison Heights, MI
National Provider Identifier
1942580188
Registry record updated Aug 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
HAIFA MANSOUR DDS,PC
Doing business as
neighborhood family dentistry
Practice address
27753 Dequindre Rd
Madison Heights, MI 48071-3477
Phone
(248) 582-8060
Fax
(248) 582-8062
NPI assigned
Aug 19, 2011
Last updated
Aug 22, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2011

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

Authorized official

Name
Dr. Haifa Kashat MansourNPI 1013005214
Title
Owner
Phone
(248) 582-8060

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
General Practice Dentistry 1223G0001X Primary

Addresses

Primary practice location

27753 Dequindre Rd
Madison Heights, MI 48071-3477

Mailing address

27753 Dequindre Rd
Madison Heights, MI 48071-3477
Phone (248) 582-8060

Other names 1

  • neighborhood family dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

27753 Dequindre Rd
Madison Heights, MI 48071
Phone (248) 582-8060

Practitioners & affiliated clinicians

Practitioners 4

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": "1313712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1313971200000",
    "number": "1942580188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27753 DEQUINDRE RD",
            "city": "MADISON HEIGHTS",
            "state": "MI",
            "postal_code": "480713477",
            "telephone_number": "248-582-8060",
            "fax_number": "248-582-8062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27753 DEQUINDRE RD",
            "city": "MADISON HEIGHTS",
            "state": "MI",
            "postal_code": "480713477",
            "telephone_number": "248-582-8060",
            "fax_number": "248-582-8062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAIFA MANSOUR DDS,PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-19",
        "last_updated": "2011-08-22",
        "status": "A",
        "authorized_official_last_name": "MANSOUR",
        "authorized_official_first_name": "HAIFA",
        "authorized_official_middle_name": "KASHAT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-582-8060",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "neighborhood family dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Madison Heights, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2011; 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.