Rakesh Mantena, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

58253 Issued in CA

Practice address

250 McAdoo Dr
Apt # 426
Folsom, CA 95630-7514

Phone

(916) 718-0005

NPI assigned

May 13, 2009

Last updated

May 13, 2009By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Rakeshmantena DDS Corp

  dba El Dorado Hills Town Center Dental

  • Point of Service
  • El Dorado Hills, CA
  • NPI 1861891079
  Authorized official Same address or phone
• Mantena Dental Corportation

  dba Empire Parkway Dental Group

  • General Practice Dentistry
  • Folsom, CA
  • NPI 1316555253
  NPD

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

{
    "created_epoch": "1242172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1242172800000",
    "number": "1366676744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 MCADOO DR",
            "address_2": "APT # 426",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "956307514",
            "telephone_number": "916-718-0005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 MCADOO DR",
            "address_2": "APT # 426",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "956307514",
            "telephone_number": "916-718-0005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANTENA",
        "first_name": "RAKESH",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-05-13",
        "last_updated": "2009-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "58253",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brittaney Elaine Manocchio
• Leah Mansfield, BCBA
• Linda M Mansker, CRNA
• Timothy Wayne Mansouri, NURSE PRACTITIONER
• Mantena Dental Corportation (Empire Parkway Dental Group)
• Mavis Manthe
• Wendi Manuele, PHARM D
• Roger Mar-Tang, M.D.
• Lauren Hoffman Marasa, M.D.
• Marc Cabanne DO Inc (Northern California Neuro Spine Institute)

• General Practice Dentistry in Folsom, CA
• Providers in Folsom, 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 May 13, 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.