Jennifer Aldawoodi DMD, Professional Corp

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

JENNIFER ALDAWOODI DMD, PROFESSIONAL CORP

Doing business as

Rancho Santa Fe Cosmetic and Family Dentistry

Practice address

5531 Cancha de Golf Ste 102
Rancho Santa Fe, CA 92091-4625

Phone

(858) 367-3058

Fax

(858) 225-5954

NPI assigned

Feb 28, 2021

Last updated

Feb 28, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Kathrina Agatep, DDSNPI 1407976608

Title

President

Phone

(858) 367-3058

Specialties & licenses 1

Addresses

Other names 1

• Rancho Santa Fe Cosmetic and Family Dentistry Doing business as

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kathrina Agatep, DDS

  • Dentist
  • San Diego, CA
  • NPI 1407976608
  NPD Authorized official
• Margaret Mauleon Novicio, DDS

  • General Practice Dentistry
  • Rancho Santa Fe, CA
  • NPI 1073608089
  NPD
• Jennifer Dean, D.M.D.

  • Dentist
  • Rancho Santa Fe, CA
  • NPI 1790078509
  NPD (past)

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

{
    "created_epoch": "1614470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614470400000",
    "number": "1649864877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5531 CANCHA DE GOLF STE 102",
            "city": "RANCHO SANTA FE",
            "state": "CA",
            "postal_code": "920914625",
            "telephone_number": "858-367-3058",
            "fax_number": "858-225-5954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5531 CANCHA DE GOLF STE 102",
            "city": "RANCHO SANTA FE",
            "state": "CA",
            "postal_code": "920914625",
            "telephone_number": "858-367-3058",
            "fax_number": "858-225-5954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENNIFER ALDAWOODI DMD, PROFESSIONAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-28",
        "last_updated": "2021-02-28",
        "certification_date": "2021-02-28",
        "status": "A",
        "authorized_official_last_name": "AGATEP",
        "authorized_official_first_name": "KATHRINA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "858-367-3058",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rancho Santa Fe Cosmetic and Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Anna Monique Halbeisen, D.O.
• Juliann Michelle Hatt, DNP
• Jason C Helfrich, D.C.
• Avi J Hettena, M.D.
• Jamaas Home Health Nursing Services, Inc.
• Kali West, LLC
• Katherine Witmeyer, OD, a Professional Optometric Corporation (Impact Vision Care Optometry)
• Kelli C. Karches, M.D., Inc
• Natalie Lam, D.M.D., M.M.SC.
• Michael Chu-Ming Lee, M.D.

• Dental Clinic/Center in Rancho Santa Fe, CA
• Providers in Rancho Santa Fe, CA by specialty
• Dental Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2021; 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.