Manuel J Ohannessian, DDS, Inc

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

54182 Issued in CA

Legal business name

MANUEL J OHANNESSIAN, DDS, INC

Practice address

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

Phone

(909) 386-3650

Fax

(909) 386-3690

NPI assigned

Nov 7, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Manuel Jean Ohannessian, DDS

Title

President

Phone

(909) 386-3650

Specialties & licenses 1

Addresses

Other names 1

• mgo dental.com Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jae Chung

  • Dentist
  • San Bernardino, CA
  • NPI 1902579949
  NPD (past)

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

{
    "created_epoch": "1226016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1411603200000",
    "number": "1841444585",
    "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",
            "address_2": "SUITE A",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924103216",
            "telephone_number": "909-386-3650",
            "fax_number": "909-386-3690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANUEL J OHANNESSIAN, DDS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-07",
        "last_updated": "2014-09-25",
        "status": "A",
        "authorized_official_last_name": "OHANNESSIAN",
        "authorized_official_first_name": "MANUEL",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "909-386-3650",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "54182",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "mgo dental.com",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Manlio F. Orozco DDS Inc.
• Tanis Mann
• Naris Manorothkul
• Mary Katon Mansour
• Joseph A Mansuri, DO
• Rageem Candace Marable
• Raniya Janee Marasco
• April Raeanne Marcano
• Liliana Mares
• Jennifer Maresh

• General Practice Dentistry in San Bernardino, CA
• Providers in San Bernardino, 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 Sep 25, 2014; 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.