Organization Active NPI

Manlio F. Orozco DDS Inc.

Doing business as SB Valley Dentistry

  • Dental Clinic/Center
  • San Bernardino, CA
National Provider Identifier
1275946469
Registry record updated Jun 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
62325 Issued in CA
Legal business name
MANLIO F. OROZCO DDS INC.
Doing business as
SB Valley Dentistry
Practice address
555 S Mount Vernon Ave Ste G
San Bernardino, CA 92410-2700
Phone
(909) 384-7374
Fax
(909) 384-7394
NPI assigned
Jun 5, 2014
Last updated
Jun 5, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2014

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

Authorized official

Name
Dr. Manlio Fabio Orozco, D.D.SNPI 1598100810
Title
Ceo
Phone
(909) 384-7374

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 62325 CA Primary

Addresses

Primary practice location

555 S Mount Vernon Ave Ste G
San Bernardino, CA 92410-2700

Mailing address

555 S Mount Vernon Ave Ste G
San Bernardino, CA 92410-2700
Phone (909) 384-7374

Other names 1

  • SB Valley Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

555 S Mount Vernon Ave
Ste G
San Bernardino, CA 92410
Phone (909) 384-7374

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1401926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1401926400000",
    "number": "1275946469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 S MOUNT VERNON AVE STE G",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924102700",
            "telephone_number": "909-384-7374",
            "fax_number": "909-384-7394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 S MOUNT VERNON AVE STE G",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924102700",
            "telephone_number": "909-384-7374",
            "fax_number": "909-384-7394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANLIO F. OROZCO DDS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-05",
        "last_updated": "2014-06-05",
        "status": "A",
        "authorized_official_last_name": "OROZCO",
        "authorized_official_first_name": "MANLIO",
        "authorized_official_middle_name": "FABIO",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "909-384-7374",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "62325",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SB Valley Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Bernardino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2014; 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.