NPIMap

Organization Active NPI

Ardin Manalo DMD PA

  • General Practice Dentistry
  • Orlando, FL
National Provider Identifier
1700959913
Registry record updated Sep 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN12921 Issued in FL
Legal business name
ARDIN MANALO DMD PA
Practice address
5301 Conroy Rd
Suite 100
Orlando, FL 32811-3551
Phone
(407) 246-0104
Fax
(407) 246-1283
NPI assigned
Nov 16, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2013

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

Authorized official

Name
Dr. Ardin Manalo, DMD
Title
General Dentist
Phone
(407) 246-0104

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X DN12921 FL Primary

Addresses

Primary practice location

5301 Conroy Rd
Suite 100
Orlando, FL 32811-3551

Mailing address

5301 Conroy Rd
Suite 100
Orlando, FL 32811-3551
Phone (407) 246-0104

National Provider Directory

National Provider Directory
Tax ID family
Ardin B Manalo DMD PA2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

5301 Conroy Rd
Ste 100
Orlando, FL 32811
Phone (407) 246-0104

NPI Registry JSON

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

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1378857600000",
    "number": "1700959913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5301 CONROY RD",
            "address_2": "SUITE 100",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328113551",
            "telephone_number": "407-246-0104",
            "fax_number": "407-246-1283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5301 CONROY RD",
            "address_2": "SUITE 100",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328113551",
            "telephone_number": "407-246-0104",
            "fax_number": "407-246-1283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARDIN MANALO DMD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-16",
        "last_updated": "2013-09-11",
        "status": "A",
        "authorized_official_last_name": "MANALO",
        "authorized_official_first_name": "ARDIN",
        "authorized_official_title_or_position": "GENERAL DENTIST",
        "authorized_official_telephone_number": "407-246-0104",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN12921",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2013; 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.