Organization Active NPI

Aileen V. Manzano D.M.D. Inc.

Doing business as Solanoville Dental

  • General Practice Dentistry
  • Vacaville, CA
National Provider Identifier
1699069641
Registry record updated Jun 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
CA45731 Issued in CA
Legal business name
AILEEN V. MANZANO D.M.D. INC.
Doing business as
Solanoville Dental
Practice address
3000 Alamo Dr Ste 108
Vacaville, CA 95687-6345
Phone
(707) 469-8523
Fax
(707) 469-8525
NPI assigned
Jun 7, 2011
Last updated
Jun 7, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2011

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

Authorized official

Name
Dr. Aileen Velarde Manzano, D.M.D.NPI 1194750729
Title
Owner
Phone
(707) 469-8523

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 Dentistry 1223G0001X CA45731 CA Primary

Addresses

Primary practice location

3000 Alamo Dr Ste 108
Vacaville, CA 95687-6345

Mailing address

3000 Alamo Dr Ste 108
Vacaville, CA 95687-6345
Phone (707) 469-8523

Other names 1

  • Solanoville Dental Doing business as

National Provider Directory

National Provider Directory

Locations

3000 Alamo Dr
Ste 108
Vacaville, CA 95687
Phone (707) 469-8523

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": "1307404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1307404800000",
    "number": "1699069641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 ALAMO DR STE 108",
            "city": "VACAVILLE",
            "state": "CA",
            "postal_code": "956876345",
            "telephone_number": "707-469-8523",
            "fax_number": "707-469-8525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 ALAMO DR STE 108",
            "city": "VACAVILLE",
            "state": "CA",
            "postal_code": "956876345",
            "telephone_number": "707-469-8523",
            "fax_number": "707-469-8525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AILEEN V. MANZANO D.M.D. INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-07",
        "last_updated": "2011-06-07",
        "status": "A",
        "authorized_official_last_name": "MANZANO",
        "authorized_official_first_name": "AILEEN",
        "authorized_official_middle_name": "VELARDE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "707-469-8523",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "CA45731",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Solanoville Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Vacaville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2011; 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.