Active NPI
Margaret Mauleon Novicio, DDS
- General Practice Dentistry
- Rancho Santa Fe, CA
National Provider Identifier
1073608089
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 62389
- Practice address
- 5531 Cancha de Golf Ste 102
Rancho Santa Fe, CA 92091-4625 - Phone
- (858) 367-3058
- NPI assigned
- Oct 4, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 62389 | CA | Primary |
Addresses
Primary practice location
5531 Cancha de Golf Ste 102
Rancho Santa Fe, CA 92091-4625
Mailing address
5531 Cancha de Golf Ste 102
Rancho Santa Fe, CA 92091-4625
Phone (858) 367-3058
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
| License | State | Type | Specialty |
|---|---|---|---|
| 62389 | CA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jennifer Aldawoodi DMD, Professional Corp | Current | Accepting new patients | |
| Cox Dental Corporation | General Practice | Past | Accepting new patients |
| Crossroads Dental Group, LLP | General Practice | Past | Accepting new patients |
Locations
5531 Cancha de Golf
Ste 102
Rancho Santa Fe, CA 92091
Phone (858) 367-3058
Interoperability endpoints
- mnovicio@direct.westerndental.com
Organizations & group practices 3
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.
-
- Dental Clinic/Center
- Rancho Santa Fe, CA
- NPI 1649864877
-
- General Practice Dentistry
- Escondido, CA
- NPI 1174730741
-
- General Practice Dentistry
- Chandler, AZ
- NPI 1609961309
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159920000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1632355200000",
"number": "1073608089",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5531 CANCHA DE GOLF STE 102",
"city": "RANCHO SANTA FE",
"state": "CA",
"postal_code": "920914625",
"telephone_number": "858-367-3058"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5531 CANCHA DE GOLF STE 102",
"city": "RANCHO SANTA FE",
"state": "CA",
"postal_code": "920914625",
"telephone_number": "858-367-3058"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NOVICIO",
"first_name": "MARGARET",
"middle_name": "MAULEON",
"name_prefix": "Mrs.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-04",
"last_updated": "2021-09-23",
"certification_date": "2021-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "62389",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rancho Santa Fe, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.