NPIMap

Organization Active NPI

Rakeshmantena DDS Corp

Doing business as El Dorado Hills Town Center Dental

  • Point of Service
  • El Dorado Hills, CA
National Provider Identifier
1861891079
Registry record updated Aug 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Point of ServiceTaxonomy code 305S00000X
License
58253 Issued in CA
Legal business name
RAKESHMANTENA DDS CORP
Doing business as
El Dorado Hills Town Center Dental
Practice address
4355 Town Center Blvd
Suite 211
El Dorado Hills, CA 95762-7115
Phone
(916) 939-6777
Fax
(916) 939-5077
NPI assigned
Aug 14, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2014

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

Authorized official

Name
Dr. Rakesh Mantena, DDS
Title
President
Phone
(916) 718-0005

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Point of Service 305S00000X 58253 CA Primary

Addresses

Primary practice location

4355 Town Center Blvd
Suite 211
El Dorado Hills, CA 95762-7115

Mailing address

4355 Town Center Blvd
Suite 211
El Dorado Hills, CA 95762-7115
Phone (916) 939-6777

Other names 1

  • El Dorado Hills Town Center Dental Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1407974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407974400000",
    "number": "1861891079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4355 TOWN CENTER BLVD",
            "address_2": "SUITE 211",
            "city": "EL DORADO HILLS",
            "state": "CA",
            "postal_code": "957627115",
            "telephone_number": "916-939-6777",
            "fax_number": "916-939-5077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4355 TOWN CENTER BLVD",
            "address_2": "SUITE 211",
            "city": "EL DORADO HILLS",
            "state": "CA",
            "postal_code": "957627115",
            "telephone_number": "916-939-6777",
            "fax_number": "916-939-5077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAKESHMANTENA DDS CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-14",
        "last_updated": "2014-08-14",
        "status": "A",
        "authorized_official_last_name": "MANTENA",
        "authorized_official_first_name": "RAKESH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "916-718-0005",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "CA",
            "license": "58253",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "El Dorado Hills Town Center Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in El Dorado Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 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.