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Dr. Mahtab Mansour , DDS

Dentist β€’ Olympia, WA

Active NPI 1528739968 Individual Practitioner Female Practitioner
Practice location in NPPES

4210 Martin Way E Ste 101
Olympia, WA 985165325

Call 3604559544 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

4210 Martin Way E Ste 101

Olympia, WA 985165325

Telephone 3604559544
Organization at the Same NPPES Address or Phone
Nurani, Mitchell, Kim, Pc Facility NPI 1699110494

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

30-day fills

13 standardized 30-day fills in 2023

CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.

What this does not show: 30-day fills

It is not a count of patients and not a measure of quality.

Part D drug cost

$65 in 2023

The total cost of these prescriptions in 2023, paid by Medicare drug plans, patients and other payers together.

What this does not show: Part D drug cost

A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.

Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2023.

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2019–2025.

Guide: How to read an Open Payments record

NPI first issued

2021

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Olympia and Washington

Billing and prescribing volume is not a quality rating.

Medicare Part D

Comparisons use 2024 data. The latest CMS data for Dr. Mansour are from 2023.

50 active clinicians are listed under Dentist with a practice address in Olympia, WA (2,768 in Washington).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Olympia

0% of these 50 clinicians have the CMS telehealth indicator.

0% of these 50 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Medicare Part D Prescribers (2023), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Medicare Part D Prescribing Profile & Medications

Medicare Part D prescriptions filled, including refills, in 2023.

CMS Part D Β· Data Year 2023
Brand Name Generic Name Prescriptions Day Supply Total Cost Patients
Amoxicillin Amoxicillin 13 77 $64.98 β€”

Source: CMS Part D by Provider and Drug, 2023; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2025-12-19
Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

License # reported to NPPES WA 61198534

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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Washington State Department of Health Provider Lookup.
Look Up on State Board Site

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

2 listed
Dr. Seok-Won (Sean) Chang , DMD

Dentist - General Practice

NPI 1184842155

Doctor of Dental Medicine

NPI 1386817567

Doctor of Dental Surgery

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

7 Historical Events
πŸ‘€
Provider Name / Credentials Updated December 19, 2025

Recorded as MAHTAB MANSOUR, DDS

βœ…
NPI Profile Active September 24, 2021

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) September 24, 2021

Registered at 4210 MARTIN WAY E STE 101, OLYMPIA, WA 985165325 (Tel: 3604559544)

πŸ“
Business Mailing Address (Initial Record) September 24, 2021

Registered at 4210 MARTIN WAY E STE 101, OLYMPIA, WA 985165325 (Tel: 3604559544)

πŸ‘€
Provider Name / Credentials (Initial Record) September 24, 2021

Recorded as MAHTAB MANSOUR, DE 61198534

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) September 24, 2021

Dentist (license number reported to NPPES: WA 61198534)

🟒
Initial NPI Registration & Enumeration September 24, 2021

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1528739968
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 24, 2021
Last Update: December 19, 2025
Sole Proprietor: Yes

Other Dentists in Olympia

All Dentists in Olympia

Mailing Address

4210 Martin Way E Ste 101

Olympia, WA 985165325

Phone: 3604559544

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.