Organization Active NPI

Arredondo,Manuel Dental Corporation

  • General Practice Dentistry
  • Chula Vista, CA
National Provider Identifier
1639379803
Registry record updated Nov 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
43309 Issued in CA
Legal business name
ARREDONDO,MANUEL DENTAL CORPORATION
Practice address
293 E Orange Ave
Chula Vista, CA 91911-5421
Phone
(619) 422-6359
Fax
(619) 422-3796
NPI assigned
Jul 24, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2021

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

Authorized official

Name
Dr. Manuel Roberto Arredondo, DDSNPI 1871688465
Title
Owner
Phone
(619) 422-6359

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 43309 CA Primary

Addresses

Primary practice location

293 E Orange Ave
Chula Vista, CA 91911-5421

Mailing address

293 E Orange Ave
Chula Vista, CA 91911-5421
Phone (619) 422-6359

National Provider Directory

National Provider Directory

Locations

293 E Orange Ave
Chula Vista, CA 91911
Phone (619) 422-6359

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": "1185235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635897600000",
    "number": "1639379803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "293 E ORANGE AVE",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919115421",
            "telephone_number": "619-422-6359",
            "fax_number": "619-422-3796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "293 E ORANGE AVE",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919115421",
            "telephone_number": "619-422-6359",
            "fax_number": "619-422-3796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARREDONDO,MANUEL DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-24",
        "last_updated": "2021-11-03",
        "certification_date": "2021-11-03",
        "status": "A",
        "authorized_official_last_name": "ARREDONDO",
        "authorized_official_first_name": "MANUEL",
        "authorized_official_middle_name": "ROBERTO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "619-422-6359",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "43309",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chula Vista, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2021; 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.