Michelle Villaverde Manimtim, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DDS102922 Issued in CA

Practice address

780 E Romie LN Ste a
Salinas, CA 93901-4223

Phone

(831) 424-0301

NPI assigned

Jun 13, 2017

Last updated

Jul 21, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• Ohana Dental Group, a California General Partnership

  dba Ohana Dental Care

  • Dental Clinic/Center
  • Salinas, CA
  • NPI 1740914852
  NPD
• Adriana Lalinde DDS Inc.

  • General Practice Dentistry
  • Prunedale, CA
  • NPI 1932509023
  NPD (past)

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

{
    "created_epoch": "1497312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1215467238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "780 E ROMIE LN STE A",
            "city": "SALINAS",
            "state": "CA",
            "postal_code": "939014223",
            "telephone_number": "831-424-0301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "780 E ROMIE LN STE A",
            "city": "SALINAS",
            "state": "CA",
            "postal_code": "939014223",
            "telephone_number": "831-424-0301"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "290 N. Wayte Lane",
            "address_2": "Suite 2500",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "93701",
            "country_code": "US",
            "telephone_number": "559-459-5725",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MANIMTIM",
        "first_name": "MICHELLE",
        "middle_name": "VILLAVERDE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-13",
        "last_updated": "2022-07-21",
        "certification_date": "2022-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "DDS102922",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Isaias Roberto Mandujano
• Jasmine Mandujano
• Maria Mandujano, MA
• Steven Keith Mangar, M.D.
• Kavitha Manickam, DDS
• Daniel Luke Maniscalo
• Alisha Mann
• Bryan F Mansour, DDS
• Jessica Manuel
• Shaun Marvin Gutierrez Manuel, PHARM.D.

• General Practice Dentistry in Salinas, CA
• Providers in Salinas, 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 Jul 21, 2022; 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.