Organization Active NPI

Jose Joel Manalese DDS Inc

Doing business as Regal Dentistry

  • Dentist
  • Riverside, CA
National Provider Identifier
1447639901
Registry record updated Jun 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
58729 Issued in CA
Legal business name
JOSE JOEL MANALESE DDS INC
Doing business as
Regal Dentistry
Practice address
3950 Pierce St.,
Suite L.
Riverside, CA 92505
Phone
(951) 688-0082
Fax
(951) 688-0501
NPI assigned
May 29, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2015

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

Authorized official

Name
Ms. Ofelya Manalese
Title
General Manager
Phone
(951) 688-0082

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 58729 CA Primary

Addresses

Primary practice location

3950 Pierce St.,
Suite L.
Riverside, CA 92505

Mailing address

3950 Pierce St.,
Suite L.
Riverside, CA 92505
Phone (951) 688-0082

Other names 1

  • REGAL DENTISTRY Doing business as

National Provider Directory

National Provider Directory

Locations

3950 Pierce St
Ste L
Riverside, CA 92505
Phone (951) 643-4405

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": "1432857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433203200000",
    "number": "1447639901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3950 PIERCE ST.,",
            "address_2": "SUITE L.",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "92505",
            "telephone_number": "951-688-0082",
            "fax_number": "951-688-0501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3950 PIERCE ST.,",
            "address_2": "SUITE L.",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "92505",
            "telephone_number": "951-688-0082",
            "fax_number": "951-688-0501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSE JOEL MANALESE DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-29",
        "last_updated": "2015-06-02",
        "status": "A",
        "authorized_official_last_name": "MANALESE",
        "authorized_official_first_name": "OFELYA",
        "authorized_official_title_or_position": "GENERAL MANAGER",
        "authorized_official_telephone_number": "951-688-0082",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "58729",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "REGAL DENTISTRY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Riverside, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 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.