Aileen Manzano, D.M.D

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

45731 Issued in CA

Practice address

3000 Alamo Dr Ste 108
Vacaville, CA 95687-6345

Phone

(707) 469-8523

NPI assigned

Jul 12, 2006

Sex

Female

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

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.

• Aileen V. Manzano D.M.D. Inc.

  • General Practice Dentistry
  • Vacaville, CA
  • NPI 1699069641
  NPD (past) Authorized official

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623628800000",
    "number": "1194750729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3909 GLACIER CT",
            "city": "VALLEJO",
            "state": "CA",
            "postal_code": "945916333",
            "telephone_number": "707-552-7708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 ALAMO DR STE 108",
            "city": "VACAVILLE",
            "state": "CA",
            "postal_code": "956876345",
            "telephone_number": "707-469-8523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANZANO",
        "first_name": "AILEEN",
        "credential": "D.M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-12",
        "last_updated": "2021-06-14",
        "certification_date": "2021-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "45731",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ciara Valerie Rose Manning
• Nakisa Mansoori
• Dakota Mantele
• Mantena and Ghazal Dental Corporation
• Julieann Manzanilla
• Percival Magpusao Manzano, DDM
• Michelle Lumiwes Maravilla
• Jennifer Marcelli
• Jason James Marengo, M.D.
• George W. Mares, COUNSELOR

• General Practice Dentistry in Vacaville, CA
• Providers in Vacaville, 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 Jun 14, 2021; 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.