Manolo P Nicolas DMD Dental Corp

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

39316 Issued in CA

Legal business name

MANOLO P NICOLAS DMD DENTAL CORP

Practice address

5126 Hollywood Blvd
Suite 7
Los Angeles, CA 90027

Phone

(323) 665-1261

Fax

(323) 667-0850

NPI assigned

Dec 21, 2009

Organization subpart

No

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

Authorized official

Name

Manolo Pascual Nicolas, DMDNPI 1063740991

Title

President

Phone

(323) 665-1261

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Manolo Pascual Nicolas, D.M.D.

  • General Practice Dentistry
  • Los Angeles, CA
  • NPI 1063740991
  NPD (past) Authorized official

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

{
    "created_epoch": "1261353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1261353600000",
    "number": "1225367295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5126 HOLLYWOOD BLVD",
            "address_2": "SUITE 7",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90027",
            "telephone_number": "323-665-1261",
            "fax_number": "323-667-0850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5126 HOLLYWOOD BLVD",
            "address_2": "SUITE 7",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90027",
            "telephone_number": "323-665-1261",
            "fax_number": "323-667-0850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANOLO P NICOLAS DMD DENTAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-21",
        "last_updated": "2009-12-21",
        "status": "A",
        "authorized_official_last_name": "NICOLAS",
        "authorized_official_first_name": "MANOLO",
        "authorized_official_middle_name": "PASCUAL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "323-665-1261",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "39316",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pauline Manning, DOULA
• Courtney Mae Mannino
• Samantha Manno
• Zarmine Manoel, DDS
• Deepa Manohara, P.N.P.
• Pej Manoochehri, DO
• Edward Manookian, M.D.
• Rachelle Manookian, MS
• Taleen Manookian
• Von'Teisha Manor

• General Practice Dentistry in Los Angeles, CA
• Providers in Los Angeles, 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 Dec 21, 2009; 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.