NPIMap

Organization Active NPI

Manalese Dental Corporation

  • General Practice Dentistry
  • Covina, CA
National Provider Identifier
1235447335
Registry record updated Jun 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
58729 Issued in CA
Legal business name
MANALESE DENTAL CORPORATION
Practice address
626 S 2ND Ave
Covina, CA 91723-3517
Phone
(626) 332-0013
Fax
(626) 332-0431
NPI assigned
Sep 23, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2015

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

Authorized official

Name
Dr. Jose Joel Manalese, DDS
Title
Owner
Phone
(626) 332-0013

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 58729 CA Primary

Addresses

Primary practice location

626 S 2ND Ave
Covina, CA 91723-3517

Mailing address

626 S 2ND Ave
Covina, CA 91723-3517
Phone (626) 332-0013

Other names 1

  • MANALESE DENTAL Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1285200000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1435276800000",
    "number": "1235447335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "626 S 2ND AVE",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "917233517",
            "telephone_number": "626-332-0013",
            "fax_number": "626-332-0431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "626 S 2ND AVE",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "917233517",
            "telephone_number": "626-332-0013",
            "fax_number": "626-332-0431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANALESE DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-23",
        "last_updated": "2015-06-26",
        "status": "A",
        "authorized_official_last_name": "MANALESE",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "JOEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "626-332-0013",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "58729",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MANALESE DENTAL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Covina, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2015; 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.