Diaz-Maniego Professional Dental Corporation

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

49144 Issued in CA

Legal business name

DIAZ-MANIEGO PROFESSIONAL DENTAL CORPORATION

Doing business as

san leandro plaza dental office

Practice address

263 Davis St
San Leandro, CA 94577-2742

Phone

(510) 357-8878

Fax

(510) 357-8898

NPI assigned

May 23, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Rogelia Castro Maniego, DDSNPI 1063672624

Title

President

Phone

(510) 357-8878

Specialties & licenses 1

Addresses

Other names 1

• san leandro plaza dental office Doing business as

Locations

Practitioners 2

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.

• Rogelia Castro Maniego

  • General Practice Dentistry
  • San Leandro, CA
  • NPI 1063672624
  NPD (past) Authorized official
• Jennifer C Diaz, DMD

  • Dentist
  • San Leandro, CA
  • NPI 1184305880
  NPD (past)

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1740490598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "263 DAVIS ST",
            "city": "SAN LEANDRO",
            "state": "CA",
            "postal_code": "945772742",
            "telephone_number": "510-357-8878",
            "fax_number": "510-357-8898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "263 DAVIS ST",
            "city": "SAN LEANDRO",
            "state": "CA",
            "postal_code": "945772742",
            "telephone_number": "510-357-8878",
            "fax_number": "510-357-8898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIAZ-MANIEGO PROFESSIONAL DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MANIEGO",
        "authorized_official_first_name": "ROGELIA",
        "authorized_official_middle_name": "CASTRO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "510-357-8878",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "49144",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "san leandro plaza dental office",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Simratpal Kaur Dhaliwal
• Deepak Dhawan, MD
• Diablo Infectious Disease Consultative Service Med GRP Inc
• Marc Joseph Diamond, L.C.S.W.
• Tatiana Del Pilar Diaz Cubillos, LVN
• Alejandra Diaz
• Jennifer C Diaz, DMD
• Lizbeth Diaz
• Tiffany Diaz
• Wilfredo Zaulda Diaz

• General Practice Dentistry in San Leandro, CA
• Providers in San Leandro, 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 Aug 22, 2020; 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.