Individual provider Active NPI

Mariacecilia Smithlanatta, DDS

  • General Practice Dentistry
  • National City, CA
National Provider Identifier
1386715233
Registry record updated Feb 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DY035030 Issued in CA
Practice address
502 Euclid Ave Ste 205
National City, CA 91950-2993
Phone
(858) 551-0276
Fax
(858) 454-8796
NPI assigned
Nov 13, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 1, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 5703 NE
General Practice Dentistry 1223G0001X DY035030 CA Primary

Addresses

Primary practice location

502 Euclid Ave Ste 205
National City, CA 91950-2993

Mailing address

PO Box 1188
La Jolla, CA 92038-1188

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
DY035030CAMDGeneral Practice Dentistry
5703NEMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Roderick a Comunale II MD Inc CurrentSince Feb 4, 2024 Accepting new patients

Locations

6501 La Jolla Blvd
La Jolla, CA 92037
Phone (619) 823-8724

502 Euclid Ave
Ste 205
National City, CA 91950
Phone (619) 470-2300

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706745600000",
    "number": "1386715233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1188",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920381188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 EUCLID AVE STE 205",
            "city": "NATIONAL CITY",
            "state": "CA",
            "postal_code": "919502993",
            "telephone_number": "858-551-0276",
            "fax_number": "858-454-8796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITHLANATTA",
        "first_name": "MARIACECILIA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-13",
        "last_updated": "2024-02-01",
        "certification_date": "2024-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NE",
            "license": "5703",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "DY035030",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in National City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2024; 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.