Individual provider Active NPI

Zarmine Manoel, DDS

  • Dentist
  • Los Angeles, CA
National Provider Identifier
1841597473
Registry record updated Apr 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
60105 Issued in CA
Practice address
3980 Glenfeliz Blvd
Los Angeles, CA 90039-1459
Phone
(818) 441-4598
NPI assigned
Feb 16, 2011
Last updated
Apr 20, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 60105 CA Primary

Addresses

Primary practice location

3980 Glenfeliz Blvd
Los Angeles, CA 90039-1459

Mailing address

2326 1/2 Montrose Ave
Montrose, CA 91020-2221
Phone (818) 441-4598

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
60105CAMDMental Health Counselor

Interoperability endpoints

  • Direct secure messaging: zmanoel@direct.westerndental.com

NPI Registry JSON

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

{
    "created_epoch": "1297814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1303257600000",
    "number": "1841597473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2326 1/2 MONTROSE AVE",
            "city": "MONTROSE",
            "state": "CA",
            "postal_code": "910202221",
            "telephone_number": "818-441-4598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3980 GLENFELIZ BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900391459",
            "telephone_number": "818-441-4598"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANOEL",
        "first_name": "ZARMINE",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-02-16",
        "last_updated": "2011-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "60105",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2011; 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.