Individual provider Active NPI

Teodor Manaois, DDS

  • General Practice Dentistry
  • San Francisco, CA
National Provider Identifier
1104084557
Registry record updated May 1, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
44738 Issued in CA
Practice address
2645 Ocean Ave
Suite 210
San Francisco, CA 94132-1633
Phone
(415) 587-4700
Fax
(415) 587-8145
NPI assigned
May 31, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 1, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 44738 CA Primary

Addresses

Primary practice location

2645 Ocean Ave
Suite 210
San Francisco, CA 94132-1633

Mailing address

2645 Ocean Ave
Suite 210
San Francisco, CA 94132-1633
Phone (415) 587-4700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
44738CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Teodor a Manaois DDS, Apc PastSince Dec 15, 2024 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1212192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1398902400000",
    "number": "1104084557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2645 OCEAN AVE",
            "address_2": "SUITE 210",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941321633",
            "telephone_number": "415-587-4700",
            "fax_number": "415-587-8145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2645 OCEAN AVE",
            "address_2": "SUITE 210",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941321633",
            "telephone_number": "415-587-4700",
            "fax_number": "415-587-8145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANAOIS",
        "first_name": "TEODOR",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-05-31",
        "last_updated": "2014-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "44738",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.