For compact orientable manifolds, this is accomplished by the notion of a spectral triple.
See the question Commutative spectral triples for additional information, including a precise statement of the theorem.
See also the answer to Noncommutative smooth manifolds for additional remarks about orientability.
As a side remark, if one is willing to use smooth functions instead of continuous functions, then there is a very satisfactory answer: the resulting contravariant functor from second countable Hausdorff smooth manifolds to commutative real algebras is a fully faithful functor, i.e., manifolds are (contravariantly) identified with a full subcategory of real algebras. This is known as Milnor's exercise.