Marinello Manuel Dental Corporation

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

MARINELLO MANUEL DENTAL CORPORATION

Practice address

3801 Pelandale Ave Ste B9
Modesto, CA 95356-8308

Phone

(209) 575-2400

Fax

(209) 575-0364

NPI assigned

May 15, 2023

Organization subpart

No

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

Authorized official

Name

Mrs. Esmeralda Garcia

Title

Ar

Phone

(209) 575-2400

Specialties & licenses 1

Addresses

Other names 1

• SIERRA DENTAL CARE Doing business as

Locations

Practitioners 3

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

• Marinello Manuel, D.M.D.

  • General Practice Dentistry
  • Modesto, CA
  • NPI 1124290531

  General Practice

  NPD
• Monica Armendariz, DDS

  • General Practice Dentistry
  • Modesto, CA
  • NPI 1740764539

  General Practice

  NPD (past)
• Glenn A. Takenaga, DDS, BS

  • General Practice Dentistry
  • Modesto, CA
  • NPI 1699952259

  General Practice

  NPD (past)

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

{
    "created_epoch": "1684108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684108800000",
    "number": "1457042145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3801 PELANDALE AVE STE B9",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953568308",
            "telephone_number": "209-575-2400",
            "fax_number": "209-575-0364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3801 PELANDALE AVE STE B9",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953568308",
            "telephone_number": "209-575-2400",
            "fax_number": "209-575-0364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARINELLO MANUEL DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-15",
        "last_updated": "2023-05-15",
        "certification_date": "2023-05-15",
        "status": "A",
        "authorized_official_last_name": "GARCIA",
        "authorized_official_first_name": "ESMERALDA",
        "authorized_official_title_or_position": "AR",
        "authorized_official_telephone_number": "209-575-2400",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SIERRA DENTAL CARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Luz Mares Velazquez
• Maximino Mares
• Victor J Mares
• Nicholas Margarite
• Alex E. Mari, M.D.
• Maha Arhror Mariona Chavez
• Jessica Susel Mariscal Raya, FNP-C
• Christopher Mariscal
• Dyanne Mariscal
• Gema Mariscal

• General Practice Dentistry in Modesto, CA
• Providers in Modesto, 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 15, 2023; 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.