Individual provider Active NPI

Mary Alice Walsh-Cole, DMD

  • General Practice Dentistry
  • Encinitas, CA
National Provider Identifier
1154497485
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
30028 Issued in CA
Practice address
285 N El Camino Real
Suite 216
Encinitas, CA 92024-5383
Phone
(760) 753-1227
Fax
(760) 753-7859
NPI assigned
Nov 28, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 30028 CA Primary

Addresses

Primary practice location

285 N El Camino Real
Suite 216
Encinitas, CA 92024-5383

Mailing address

285 N El Camino Real
Suite 216
Encinitas, CA 92024-5383
Phone (760) 753-1227

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

LicenseStateTypeSpecialty
30028CAMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1154497485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "285 N EL CAMINO REAL",
            "address_2": "SUITE 216",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920245383",
            "telephone_number": "760-753-1227",
            "fax_number": "760-753-7859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "285 N EL CAMINO REAL",
            "address_2": "SUITE 216",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920245383",
            "telephone_number": "760-753-1227",
            "fax_number": "760-753-7859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALSH-COLE",
        "first_name": "MARY",
        "middle_name": "ALICE",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "30028",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Encinitas, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.