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FEREIDON WOLFGANG MANSSURI D.D.S.
NPI 1447475140
Dentist in Centreville, MD

Active since April 16, 2007Opted out of Medicare · through Feb 1, 2028
134 COURSEVALL DRIVE, CENTREVILLE, MD 21617(410) 758-1424(410) 758-4380 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Fereidon Wolfgang Manssuri D.d.s. NPPES

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

FEREIDON WOLFGANG MANSSURI D.D.S. (NPI 1447475140) is an individual dentist in Centreville, Maryland, licensed in Maryland (12053) and active in the NPI registry since April 2007. He has opted out of Medicare through February 1, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1447475140
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameFEREIDON WOLFGANG MANSSURICredential: D.D.S.
Location Address134 COURSEVALL DRIVECentreville, MD 21617
Mailing Address134 Coursevall DriveCentreville, MD 21617 · (410) 758-1424 · Fax (410) 758-4380
Phone(410) 758-1424
Fax(410) 758-4380
Sole ProprietorNo
Enumeration DateApril 16, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1447475140 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in MD · 12053
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.
134 COURSEVALL DRIVE, Centreville, MD 21617
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Other Names 1

Professional Name (2)Wolfgang Manssuri D.d.s.

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

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Opted out of Medicare

Fereidon Wolfgang Manssuri D.d.s. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from February 1, 2018 through February 1, 2028.

Opt-Out Effective DateFebruary 1, 2018
Opt-Out In Effect ThroughFebruary 1, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21617 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
$89.75 typical visit price
range $57.99 – $175.57
Typical copayment $22.43 (range $14.49 – $43.89)
Most-billed visit code 99203
Established Patient
$72.23 typical visit price
range $18.66 – $143.02
Typical copayment $18.05 (range $4.66 – $35.75)
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.

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 Fereidon Manssuri's NPI number?

The NPI number for Fereidon Manssuri is 1447475140. It was assigned to this individual provider in the NPPES registry on April 16, 2007. The provider is also known as Wolfgang Manssuri D.D.S..

Where is Fereidon Manssuri located?

Fereidon Manssuri practices at 134 Coursevall Drive, Centreville, MD 21617. The listed phone number is (410) 758-1424.

What is Fereidon Manssuri's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Fereidon Manssuri enrolled in Medicare?

No. Fereidon Manssuri has opted out of Medicare through February 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Fereidon Manssuri accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 5 other insurers list Fereidon Manssuri 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 Fereidon Manssuri was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.