MR. NIZAR NAUM MANSOUR DDS MS
NPI 1053489807
Dentist in Southfield, MI

Active since December 01, 2006PECOS Enrolled
28437 GREENFIELD RD, SUITE 101, SOUTHFIELD, MI 48076(248) 557-5461(248) 559-3163 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mr. Nizar Naum Mansour Dds Ms NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. NIZAR NAUM MANSOUR DDS MS (NPI 1053489807) is an individual dentist in Southfield, Michigan, licensed in Michigan (2901012608) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1053489807
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameMR. NIZAR NAUM MANSOURCredential: DDS MS
Location Address28437 GREENFIELD RD, SUITE 101Southfield, MI 48076
Mailing Address28437 Greenfield Rd, Suite 101Southfield, MI 48076 · (248) 557-5461 · Fax (248) 559-3163
Fax(248) 559-3163
Sole ProprietorNo
Enumeration DateDecember 1, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1053489807 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License Licensed in MI · 2901012608
Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

28437 GREENFIELD RD, Southfield, MI 48076

Other Identifiers 3

Other12608Blue Cross
Medicaid4074460MI
Medicaid4065433MI

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Mr. Nizar Naum Mansour Dds Ms is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48076 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$90.76 typical visit price
range $58.04 – $177.36
Typical copayment $22.69 (range $14.51 – $44.34)
Most-billed visit code 99203
Established Patient
$72.38 typical visit price
range $18.32 – $143.49
Typical copayment $18.09 (range $4.58 – $35.87)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

General Practice
28437 GREENFIELD RD, SUITE 102
SOUTHFIELD, MI 48076
Dentist (General Practice)
28437 GREENFIELD RD, SUITE 101
SOUTHFIELD, MI 48076
Dentist (General Practice)
28437 GREENFIELD RD
SOUTHFIELD, MI 48076

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1053489807, enumerated as an "individual" on December 01, 2006.

The provider is located at 28437 GREENFIELD RD SUITE 101 SOUTHFIELD, MI 48076 and the phone number is (248) 557-5461.

Dentist with taxonomy code 122300000X.

The provider might be accepting Accepts: Humana, Blue Cross Blue Shield, Medicare and. Please consult your insurance carrier or call the provider to verify.