Mahtab Mansour, DDS
NPI 1528739968ActiveIndividual· Dentist· Olympia, WA
Dentist (DDS) in Olympia, Washington, licensed in WA, with an NPI issued in September 2021. Part D covered 15 prescriptions written in 2024, 93% of them generic.
Overview
| NPI | 1528739968 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DDS |
| Sole proprietor | Yes |
| NPI issued | Sep 24, 2021 |
| Last updated in NPPES | Dec 19, 2025 |
| Certified by provider | Dec 19, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist Primary | 122300000X | 61198534 | WA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Part D prescriptions in 2024
| Prescriptions (claims) | 15 · 15 30-day fills |
|---|---|
| Patients | 13 |
| Total drug cost | $74.55 |
| Generic share | 93% of claims |
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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