Individual provider Active NPI

Manlio Fabio Orozco, DDS

  • Dentist
  • San Bernardino, CA
National Provider Identifier
1598100810
Registry record updated Mar 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
62325 Issued in CA
Practice address
555 S Mount Vernon Ave
Suite G
San Bernardino, CA 92410-2749
Phone
(909) 384-7374
NPI assigned
Apr 30, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 62325 CA Primary

Addresses

Primary practice location

555 S Mount Vernon Ave
Suite G
San Bernardino, CA 92410-2749

Mailing address

555 S Mount Vernon Ave
Suite G
San Bernardino, CA 92410-2749
Phone (909) 384-7374

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160406001412 CA Order and Referring Only - DentistPractitioner - Dentist 8921306085

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Manlio F. Orozco DDS Inc. Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1367280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615075200000",
    "number": "1598100810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 S MOUNT VERNON AVE",
            "address_2": "SUITE G",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924102749",
            "telephone_number": "909-384-7374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 S MOUNT VERNON AVE",
            "address_2": "SUITE G",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924102749",
            "telephone_number": "909-384-7374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OROZCO",
        "first_name": "MANLIO",
        "middle_name": "FABIO",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-04-30",
        "last_updated": "2021-03-07",
        "certification_date": "2021-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "62325",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Bernardino, CA

Sources for this page

Verify at the official NPI Registry.