Manuel Jean Ohannessian, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

CA 54182 Issued in CA

Practice address

654 W 4TH St Ste a
San Bernardino, CA 92410-3216

Phone

(909) 386-3650

Fax

(909) 386-3690

NPI assigned

Jan 6, 2007

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

Credentials

Doctor of Medicine

State licenses

Practice roles

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

• Dr. Ahuja and Dr. Gill's Dental Office

  • Dentist
  • San Bernardino, CA
  • NPI 1437353653
  NPD (past)
• Stanley Miller DDS, Professional Corporation

  dba Dental Works

  • General Practice Dentistry
  • Banning, CA
  • NPI 1942351606
  NPD (past)

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

{
    "created_epoch": "1168041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1217808000000",
    "number": "1710035910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 312",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924020312",
            "telephone_number": "909-386-3650",
            "fax_number": "909-386-3690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "654 W 4TH ST STE A",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924103216",
            "telephone_number": "909-386-3650",
            "fax_number": "909-386-3690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OHANNESSIAN",
        "first_name": "MANUEL",
        "middle_name": "JEAN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-06",
        "last_updated": "2008-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "CA 54182",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brendan Ogubuike
• Jessica Ogunduyile
• Sammy Ogunleye
• Anne Oh
• Vahe Ohanesian, DDS,MS
• Ben Ohikhuare
• Alissa Okeefe
• Kwame Okoreeh, RN
• Michelle Okoreeh
• Olumide Okuniyi Okusanya

• Dentist in San Bernardino, CA
• Providers in San Bernardino, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2008; 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.