Manuel E.Macias DDS, a Professional Corp

Primary specialty

DentistTaxonomy code 122300000X

License

32351 Issued in CA

Legal business name

MANUEL E.MACIAS DDS, A PROFESSIONAL CORP

Doing business as

Manny E.Macias, DDS,INC.

Practice address

2200 W Olive Ave
Burbank, CA 91506-2626

Phone

(818) 846-2266

Fax

(818) 846-2539

NPI assigned

Aug 14, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Manuel Eugenio Macias, DDS

Title

President

Phone

(818) 846-2266

Specialties & licenses 1

Addresses

Other names 1

• Manny E.Macias, DDS,INC. Doing business as

Locations

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

{
    "created_epoch": "1407974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407974400000",
    "number": "1619376787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 W OLIVE AVE",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915062626",
            "telephone_number": "818-846-2266",
            "fax_number": "818-846-2539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 W OLIVE AVE",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915062626",
            "telephone_number": "818-846-2266",
            "fax_number": "818-846-2539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANUEL E.MACIAS DDS, A PROFESSIONAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-14",
        "last_updated": "2014-08-14",
        "status": "A",
        "authorized_official_last_name": "MACIAS",
        "authorized_official_first_name": "MANUEL",
        "authorized_official_middle_name": "EUGENIO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-846-2266",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "32351",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Manny E.Macias, DDS,INC.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Dentist in Burbank, CA
• Providers in Burbank, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2014; 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.