Organization Active NPI

Rochelle Manangkil DDS Inc.

  • Pediatric Dentistry
  • American Canyon, CA
National Provider Identifier
1639560725
Registry record updated Feb 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
59669 Issued in CA
Legal business name
ROCHELLE MANANGKIL DDS INC.
Practice address
3417 Broadway St
Suite J-1
American Canyon, CA 94503-1294
Phone
(925) 759-1905
NPI assigned
Feb 10, 2015
Last updated
Feb 10, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2015

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

Authorized official

Name
Dr. Rochelle A Manangkil, DDSNPI 1417264177
Title
Pediatric Dentist
Phone
(925) 759-1905

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
Pediatric Dentistry 1223P0221X 59669 CA Primary

Addresses

Primary practice location

3417 Broadway St
Suite J-1
American Canyon, CA 94503-1294

Mailing address

120 Greenmeadow Cir
Pittsburg, CA 94565-7331
Phone (925) 759-1905

National Provider Directory

National Provider Directory

Locations

3417 Broadway St
Ste J1
American Canyon, CA 94503
Phone (707) 346-2400

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1423526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423526400000",
    "number": "1639560725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 GREENMEADOW CIR",
            "city": "PITTSBURG",
            "state": "CA",
            "postal_code": "945657331",
            "telephone_number": "925-759-1905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3417 BROADWAY ST",
            "address_2": "SUITE J-1",
            "city": "AMERICAN CANYON",
            "state": "CA",
            "postal_code": "945031294",
            "telephone_number": "925-759-1905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROCHELLE MANANGKIL DDS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-10",
        "last_updated": "2015-02-10",
        "status": "A",
        "authorized_official_last_name": "MANANGKIL",
        "authorized_official_first_name": "ROCHELLE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PEDIATRIC DENTIST",
        "authorized_official_telephone_number": "925-759-1905",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CA",
            "license": "59669",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in American Canyon, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2015; 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.