Mary Rose B. Manzana DDS Inc

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

MARY ROSE B. MANZANA DDS INC

Practice address

24307 Astor Racing CT
Valencia, CA 91354-4918

Phone

(661) 714-1361

Fax

(661) 294-5018

NPI assigned

Sep 19, 2007

Last updated

Sep 19, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mary Rose B. Manzana, DDSNPI 1811031057

Title

Ceo

Phone

(661) 714-1361

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mary Rose Bicierro Manzana, D.D.S.

  • Dentist
  • Valencia, CA
  • NPI 1811031057
  NPD (past) Authorized official

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

{
    "created_epoch": "1190160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190160000000",
    "number": "1205022662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24307 ASTOR RACING CT",
            "city": "VALENCIA",
            "state": "CA",
            "postal_code": "913544918",
            "telephone_number": "661-714-1361",
            "fax_number": "661-294-5018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24307 ASTOR RACING CT",
            "city": "VALENCIA",
            "state": "CA",
            "postal_code": "913544918",
            "telephone_number": "661-714-1361",
            "fax_number": "661-294-5018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARY ROSE B. MANZANA DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-19",
        "last_updated": "2007-09-19",
        "status": "A",
        "authorized_official_last_name": "MANZANA",
        "authorized_official_first_name": "MARY ROSE",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "661-714-1361",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Teresa Martinez, MSW
• Xochitl Yvonne Martinez
• Emily Natasha Martino, NP
• Vahagn Martirosyan
• Marvin Tong, DDS, a Professional Corporation
• Mas Management Group, Inc. (Mas Pharma)
• Elaine Lacanlale Masangkay, DC
• Hana Serina Massab
• Mater Dei Home Health, Inc.
• Monica Leigh Matthews

• General Practice Dentistry in Valencia, CA
• Providers in Valencia, 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 Sep 19, 2007; 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.