IndividualActive
Manuel Lara-Murillo, DDS
NPI 1104820646 · Dentist · Jackson, CA
Manuel Lara-Murillo, DDS is a Dentist provider in Jackson, CA (NPI 1104820646).
Provider details
- NPI number
- 1104820646
- Entity type
- Individual
- Primary specialty
- DentistDental Providers
- Credential
- DDS
- Sex
- Male
- License
- 44606 (CA)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
21 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
15515 Daltons Dr
Jackson, CA 95642-9344
Phone: (209) 223-8460
Fax: (209) 223-8464
Approximate (ZIP-level) locationGet directions
Mailing address
2887 Myotis Dr
Sacramento, CA 95834-2604
Registry dates
- Enumerated
- 2005-06-13
- Last updated
- 2007-07-08
Frequently asked questions
- What is Manuel Lara-Murillo's NPI number?
- Manuel Lara-Murillo's National Provider Identifier (NPI) is 1104820646, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Manuel Lara-Murillo's specialty?
- Manuel Lara-Murillo is listed in the NPPES registry with a primary specialty of Dentist (Dental Providers).
- Where is Manuel Lara-Murillo located?
- Manuel Lara-Murillo's practice location on file with NPPES is 15515 Daltons Dr, Jackson, CA 95642-9344.
- What is Manuel Lara-Murillo's phone number?
- The practice phone number listed in the NPPES registry for Manuel Lara-Murillo is (209) 223-8460.
- Is Manuel Lara-Murillo's NPI active?
- Yes — Manuel Lara-Murillo's NPI (1104820646) is active in the NPPES registry as of the last update on 2007-07-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.