Manolet Bias Santos, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

56775 Issued in CA

Practice address

10106 Adams Ave
Huntington Beach, CA 92646-4907

Phone

(714) 962-7797

Fax

(714) 962-7797

NPI assigned

Jan 30, 2008

Last updated

Mar 28, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Interoperability endpoints

• Direct secure messaging: manolet.santos@direct.westerndental.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Manolet Santos DDS Professional Dental Corporation

  dba AB Dental Center

  • Dental Clinic/Center
  • Huntington Beach, CA
  • NPI 1134589070
  Authorized official Same address or phone

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

{
    "created_epoch": "1201651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553731200000",
    "number": "1699952887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5870 BENNER ST",
            "address_2": "303",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900424764",
            "telephone_number": "626-802-0255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10106 ADAMS AVE",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926464907",
            "telephone_number": "714-962-7797",
            "fax_number": "714-962-7797"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5870 Benner St",
            "address_2": "303",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900424764",
            "country_code": "US",
            "telephone_number": "626-802-0255",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SANTOS",
        "first_name": "MANOLET",
        "middle_name": "BIAS",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-01-30",
        "last_updated": "2019-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "56775",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adriana M Santos I
• Aileen Santos
• Colleen Ventus Santos, PSY.D.
• Jade Santos, PT, DPT
• Kelsey Santos, OTR
• Kaveh Saremi, M.D.
• Jake P Sarmiento, PT, DPT
• Weston Sarver
• Jai Kaarthik Sasi Kumar
• Ryan Sato

• General Practice Dentistry in Huntington Beach, CA
• Providers in Huntington Beach, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2019; 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.