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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. CYRUS JON MANSOURI DDS
NPI 1376220517
Dentist - Periodontics in Covington, LA

Active since June 29, 2023PECOS Enrolled
5024 KEYSTONE BLVD STE A, COVINGTON, LA 70433(985) 778-0241 Get Directions Write a Review

NPPES record last updated: July 23, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 23, 2026, Oct 25, 2023 (2 updates tracked since 2023).

About Dr. Cyrus Jon Mansouri Dds NPPES

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

DR. CYRUS JON MANSOURI DDS (NPI 1376220517) is an individual periodontics provider in Covington, Louisiana, licensed in Louisiana (7473) and active in the NPI registry since June 2023. He is enrolled in Medicare PECOS and maintains a secondary practice location in Slidell.

NPPES Registry Identity

NPI1376220517
Entity TypeIndividualMale
Primary Taxonomy1223P0300X
Provider Legal NameDR. CYRUS JON MANSOURICredential: DDS
Location Address5024 KEYSTONE BLVD STE ACovington, LA 70433-7517
Mailing Address6377 Canal BlvdNew Orleans, LA 70124-3117 · (224) 456-9191
Phone(985) 778-0241
Sole ProprietorNo
Enumeration DateJune 29, 2023
Last NPPES UpdateJuly 23, 20262 updates tracked since enumeration
NPPES CertifiedJuly 23, 2026
✔ NPI 1376220517 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
License✔ Licensed in LA · 7473
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
5024 KEYSTONE BLVD STE A, Covington, LA 70433
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Secondary Practice Location 1

Location 11414 Old Spanish TrlSlidell, LA 70458-5022 · Phone (985) 778-0241

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and more.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)

Dr. Cyrus Jon Mansouri Dds 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 70433 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
$83.60 typical visit price
range $53.43 – $164.73
Typical copayment $20.90 (range $13.35 – $41.18)
Most-billed visit code 99203
Established Patient
$67.06 typical visit price
range $16.64 – $133.62
Typical copayment $16.76 (range $4.16 – $33.40)
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 2

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

ST. TAMMANY PERIODONTICS & IMPLANTS LLC
Dentist (Periodontics)
5024 KEYSTONE BLVD STE A
COVINGTON, LA 70433
St. Tammany Parish (985) 778-0241
DR. CAESAR SWEIDAN DDS
Dentist (Periodontics)
5024 KEYSTONE BLVD STE A
COVINGTON, LA 70433
St. Tammany Parish (985) 778-0241

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Cyrus Mansouri's NPI number?

The NPI number for Cyrus Mansouri is 1376220517. It was assigned to this individual provider in the NPPES registry on June 29, 2023.

Where is Cyrus Mansouri located?

Cyrus Mansouri practices at 5024 Keystone Blvd Ste A, Covington, LA 70433. The listed phone number is (985) 778-0241.

What is Cyrus Mansouri's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

Is Cyrus Mansouri enrolled in Medicare?

Yes. Cyrus Mansouri is registered in the Medicare PECOS enrollment system.

What insurance does Cyrus Mansouri accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter from Superior HealthPlan and BEST Life and 14 other insurers list Cyrus Mansouri as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Cyrus Mansouri was last updated on July 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.