Organization Active NPI

Manolet Santos DDS Professional Dental Corporation

  • Dental Clinic/Center
  • Huntington Beach, CA
National Provider Identifier
1134589070
Registry record updated Mar 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
56775 Issued in CA
Legal business name
MANOLET SANTOS DDS PROFESSIONAL DENTAL CORPORATION
Practice address
10106 Adams Ave
Huntington Beach, CA 92646-4907
Phone
(714) 962-7797
Fax
(714) 965-3766
NPI assigned
Mar 4, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2016

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

Authorized official

Name
Dr. Manolet Santos, DMD
Title
President
Phone
(951) 256-6782

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 56775 CA Primary

Addresses

Primary practice location

10106 Adams Ave
Huntington Beach, CA 92646-4907

Mailing address

10106 Adams Ave
Huntington Beach, CA 92646-4907
Phone (714) 962-7797

Other names 1

  • AB Dental Center Doing business as

National Provider Directory

National Provider Directory

Locations

10106 Adams Ave
Huntington Beach, CA 92646
Phone (714) 962-7797

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1457049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1457049600000",
    "number": "1134589070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10106 ADAMS AVE",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926464907",
            "telephone_number": "714-962-7797",
            "fax_number": "714-965-3766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10106 ADAMS AVE",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926464907",
            "telephone_number": "714-962-7797",
            "fax_number": "714-965-3766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANOLET SANTOS DDS PROFESSIONAL DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-04",
        "last_updated": "2016-03-04",
        "status": "A",
        "authorized_official_last_name": "SANTOS",
        "authorized_official_first_name": "MANOLET",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "951-256-6782",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "56775",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AB Dental Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Huntington Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2016; 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.