Marinello Manuel, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

43197 Issued in CA

Practice address

3801 Pelandale Ave Ste B9
Modesto, CA 95356-8308

Phone

(209) 575-2400

Fax

(209) 575-0364

NPI assigned

Mar 25, 2008

Last updated

May 16, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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

• Marinello Manuel Dental Corporation

  dba Sierra Dental Care

  • General Practice Dentistry
  • Modesto, CA
  • NPI 1457042145
  NPD

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

{
    "created_epoch": "1206403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684195200000",
    "number": "1124290531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2410 HARCOURT AVE",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953502280",
            "telephone_number": "209-681-5800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3801 PELANDALE AVE STE B9",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953568308",
            "telephone_number": "209-575-2400",
            "fax_number": "209-575-0364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANUEL",
        "first_name": "MARINELLO",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-03-25",
        "last_updated": "2023-05-16",
        "certification_date": "2023-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "43197",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Madison Jonna Manrique
• Angel Manriquez
• Jhonatan Manriquez
• Joseph Sami Mansour, MD
• Mary Manter, BCBA, MA
• Clifford S Mar, PHARM.D.
• Hormoz Maragoul, DPT, PCS, CSCS
• Amanda Maranta, B.A
• Ricardo Maravilla-Garcia
• Crystal Maravilla

• General Practice Dentistry in Modesto, CA
• Providers in Modesto, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.