Active NPI
Manolet Santos DDS Professional Dental Corporation
- Dental Clinic/Center
- Huntington Beach, CA
National Provider Identifier
1134589070
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- License
- 56775
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryLocations
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.
-
- General Practice Dentistry
- Huntington Beach, CA
- NPI 1104956317
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.