MINAN MANSOUR DMD
NPI 1689368276
Dentist in Mesa, AZ

Q: What is Minan Mansour's NPI number?

The NPI number for Minan Mansour is 1689368276. It was assigned to this individual provider in the NPPES registry on June 6, 2023.

Q: What is Minan Mansour's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Minan Mansour was last updated on June 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.

Active since June 06, 2023PECOS Enrolled

1901 S SIGNAL BUTTE RD STE 107, MESA, AZ 85209(480) 305-0877 Get Directions Write a Review

NPPES record last updated: June 6, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Minan Mansour Dmd NPPES

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

MINAN MANSOUR DMD (NPI 1689368276) is an individual dentist in Mesa, Arizona, licensed in Arizona (D011809) and active in the NPI registry since June 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1689368276

Entity TypeIndividualMale

Primary Taxonomy122300000X

Provider Legal NameMINAN MANSOURCredential: DMD

Location Address1901 S SIGNAL BUTTE RD STE 107Mesa, AZ 85209-2601

Mailing Address5831 E Grove AveMesa, AZ 85206-5537 · (248) 842-0548

Phone(480) 305-0877

Sole ProprietorNo

Enumeration DateJune 6, 2023

NPPES CertifiedJune 6, 2023

✔ NPI 1689368276 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in AZ · D011809

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.

1901 S SIGNAL BUTTE RD STE 107, Mesa, AZ 85209

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter 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)

Minan Mansour Dmd 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 85209 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

$85.89 typical visit price

range $55.44 – $168.60

Typical copayment $21.47 (range $13.86 – $42.15)

Most-billed visit code 99203

Established Patient

$69.24 typical visit price

range $17.72 – $137.41

Typical copayment $17.31 (range $4.43 – $34.35)

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

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

LOBNA BANIMOSTAFA

Dentist

1901 S SIGNAL BUTTE RD STE 107
MESA, AZ 85209

Maricopa County (480) 305-0877

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 Minan Mansour's NPI number?

The NPI number for Minan Mansour is 1689368276. It was assigned to this individual provider in the NPPES registry on June 6, 2023.

Where is Minan Mansour located?

Minan Mansour practices at 1901 S Signal Butte Rd Ste 107, Mesa, AZ 85209. The listed phone number is (480) 305-0877.

What is Minan Mansour's specialty?

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

Is Minan Mansour enrolled in Medicare?

Yes. Minan Mansour is registered in the Medicare PECOS enrollment system.

What insurance does Minan Mansour accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and BEST Life and 14 other insurers list Minan Mansour 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 Minan Mansour was last updated on June 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.