Active NPI
Michael Thaddeus Roncone, D.D.S.
- General Practice Dentistry
- Carlsbad, CA
National Provider Identifier
1386630143
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 35983
- Practice address
- 3144 El Camino Real
Suite 101
Carlsbad, CA 92008-2194 - Phone
- (760) 725-7455
- Fax
- (760) 725-7461
- NPI assigned
- Sep 26, 2005
- Sex
- Male
- 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 | 35983 | CA | Primary |
Addresses
Primary practice location
3144 El Camino Real
Suite 101
Carlsbad, CA 92008-2194
Mailing address
3406 Putter PL
Oceanside, CA 92056-3201
Phone (760) 757-6286
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 |
|---|---|---|---|
| 35983 | CA | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127692800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1386630143",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3406 PUTTER PL",
"city": "OCEANSIDE",
"state": "CA",
"postal_code": "920563201",
"telephone_number": "760-757-6286",
"fax_number": "760-725-7461"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3144 EL CAMINO REAL",
"address_2": "SUITE 101",
"city": "CARLSBAD",
"state": "CA",
"postal_code": "920082194",
"telephone_number": "760-725-7455",
"fax_number": "760-725-7461"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RONCONE",
"first_name": "MICHAEL",
"middle_name": "THADDEUS",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-26",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "35983",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Carlsbad, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.