Catherine Reyes Manahan, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

100468 Issued in CA

Practice address

15970 Los Serranos Country Club Dr # 130
Chino Hills, CA 91709-4523

Phone

(909) 210-8909

NPI assigned

Jul 20, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Catherine Manzano Reyes Former name

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

Medicare enrollment (NPD)

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 and National Provider Directory roles.

• Priyawat and Kim Dental Services

  dba Omnia Dental Care

  • Oral and Maxillofacial Surgery Clinic/Center
  • Chino Hills, CA
  • NPI 1801461561
  NPD (past)
• Priyawat Dental Group Inc

  • Dentist
  • Chino Hills, CA
  • NPI 1689513483
  NPD (past)
• Chad N Gubler, DDS Casino Direct, LTD

  dba LVFD-Chad N Gubler DDS Casino Direct (AHD)

  • Dentist
  • Las Vegas, NV
  • NPI 1689498818
  NPD (past)
• Dental Management of Nevada-Bienstock PLLC

  dba Las Vegas Family Dental Care

  • Dentist
  • Las Vegas, NV
  • NPI 1871842500
  NPD (past)

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

{
    "created_epoch": "1468972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722211200000",
    "number": "1619320041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15970 LOS SERRANOS COUNTRY CLUB DR # 130",
            "city": "CHINO HILLS",
            "state": "CA",
            "postal_code": "917094523",
            "telephone_number": "909-210-8909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15970 LOS SERRANOS COUNTRY CLUB DR # 130",
            "city": "CHINO HILLS",
            "state": "CA",
            "postal_code": "917094523",
            "telephone_number": "909-210-8909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANAHAN",
        "first_name": "CATHERINE",
        "middle_name": "REYES",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-07-20",
        "last_updated": "2024-07-29",
        "certification_date": "2024-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NV",
            "license": "6858",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "100468",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CATHERINE",
            "last_name": "REYES",
            "middle_name": "MANZANO",
            "credential": "D.D.S.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Sara Jabeen Mahmood, FNP
• Smita Malhotra
• Francine Robin Maltz
• Nerissa Mamaril, M.S. CCC-SLP
• Mana Kafaei DDS, Inc.
• Mand Enterprise LLC Dba 1Heart Caregiver Services Chino Hills (1Heart Caregiver Services Chino Hills)
• Melissa Marie Manikis
• Mansour Chiropractic Inc.
• Albert D. Mansour, D.C.
• Kevin Mansour

• Dentist in Chino Hills, CA
• Providers in Chino Hills, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.