Joseph Rocco Mercardante Jr.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

25174 Issued in CA

Practice address

150 Tejas PL
Nipomo, CA 93444-9123

Phone

(805) 938-0935

NPI assigned

Jul 17, 2006

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

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1235157405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 TEJAS PL",
            "city": "NIPOMO",
            "state": "CA",
            "postal_code": "934449123",
            "telephone_number": "805-938-0935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 TEJAS PL",
            "city": "NIPOMO",
            "state": "CA",
            "postal_code": "934449123",
            "telephone_number": "805-938-0935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERCARDANTE",
        "first_name": "JOSEPH",
        "middle_name": "ROCCO",
        "name_suffix": "Jr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "25174",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Owen Charles Martin
• Tanya Susan McCaffrey, PT
• Wendy Diane Meier, PSY.D.
• Jennifer Mendez, MS
• Josue Emanuel Menjivar, RDH
• Jutta H Merraim
• Sara Emily Messer, OTR/L, SCEM, ECHMHTC
• Dane Royal Moore, DC
• Belinda Leah Morabito
• Chin Chon NG Chan

• General Practice Dentistry in Nipomo, CA
• Providers in Nipomo, CA by specialty
• General Practice Dentistry in California

• 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.