Individual provider Active NPI

Marisela Sinclair, D.D.S.

  • General Practice Dentistry
  • Encinitas, CA
National Provider Identifier
1619421815
Registry record updated Aug 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
100650 Issued in CA
Practice address
499 N El Camino Real Ste C102
Encinitas, CA 92024-1347
Phone
(760) 487-1390
NPI assigned
Aug 5, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2022

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 DDS100650 CA
General Practice Dentistry 1223G0001X 100650 CA Primary

Addresses

Primary practice location

499 N El Camino Real Ste C102
Encinitas, CA 92024-1347

Mailing address

499 N El Camino Real Ste C102
Encinitas, CA 92024-1347
Phone (760) 753-3368

Other identifiers 1

IdentifierTypeStateIssuer
1619421815OtherNPI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170301001548 CA Order and Referring Only - DentistPractitioner - Dentist 1456635978

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
100650CAMDGeneral Practice Dentistry
DDS100650CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Isabel David, DDS, Apc Past Accepting new patients

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": "1470355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661817600000",
    "number": "1619421815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "499 N EL CAMINO REAL STE C102",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920241347",
            "telephone_number": "760-753-3368",
            "fax_number": "760-753-3365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "499 N EL CAMINO REAL STE C102",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920241347",
            "telephone_number": "760-487-1390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SINCLAIR",
        "first_name": "MARISELA",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-05",
        "last_updated": "2022-08-30",
        "certification_date": "2022-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "DDS100650",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "100650",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1619421815",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Encinitas, CA

Sources for this page

Verify at the official NPI Registry.