Manuel M Contreras, D.D.S

Primary specialty

DentistTaxonomy code 122300000X

License

45845 Issued in CA

Practice address

1701 W March LN Ste B
Stockton, CA 95207-6416

Phone

(209) 463-6130

Fax

(209) 463-6297

NPI assigned

Sep 26, 2007

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Manuel M. Contreras DDS a Professional Dental Corporation

  • Dental Clinic/Center
  • Stockton, CA
  • NPI 1295368561
  NPD Authorized official

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

{
    "created_epoch": "1190764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581638400000",
    "number": "1962699686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 W MARCH LN STE B",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952076416",
            "telephone_number": "209-463-6130",
            "fax_number": "209-463-6297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 W MARCH LN STE B",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952076416",
            "telephone_number": "209-463-6130",
            "fax_number": "209-463-6297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONTRERAS",
        "first_name": "MANUEL",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-09-26",
        "last_updated": "2020-02-14",
        "certification_date": "2020-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "45845",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexandria Maria Contreras
• Irma Contreras
• Jessica Contreras
• Liliana Contreras
• Manuel Alejandro Contreras, DDS
• Neiko Raul Contreras
• Jennifer Michael Conway-Brandt
• Shaunna Conway-Brandt
• Alicia Annette Conway, MPH, PA-C
• Bethany Cook

• Dentist in Stockton, CA
• Providers in Stockton, CA by specialty
• Dentist in California

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