Individual provider Active NPI

Mark Allen Nocera, D.D.S.

  • General Practice Dentistry
  • Carlsbad, CA
National Provider Identifier
1437245222
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
CL38572 Issued in CA
Practice address
6994 El Camino Real
Ste. 108
Carlsbad, CA 92009-4117
Phone
(760) 431-7711
Fax
(760) 431-0796
NPI assigned
Oct 5, 2006
Sex
Male
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 CL38572 CA Primary

Addresses

Primary practice location

6994 El Camino Real
Ste. 108
Carlsbad, CA 92009-4117

Mailing address

6994 El Camino Real
Ste. 108
Carlsbad, CA 92009-4117
Phone (760) 431-7711

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
CL38572CAMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1437245222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6994 EL CAMINO REAL",
            "address_2": "STE. 108",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920094117",
            "telephone_number": "760-431-7711",
            "fax_number": "760-431-0796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6994 EL CAMINO REAL",
            "address_2": "STE. 108",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920094117",
            "telephone_number": "760-431-7711",
            "fax_number": "760-431-0796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOCERA",
        "first_name": "MARK",
        "middle_name": "ALLEN",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "CL38572",
            "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 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.