Amanda Lacerda, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

DDS107558 Issued in CA

Practice address

11230 Sorrento Valley Rd Ste 130
San Diego, CA 92121-1338

Phone

(858) 682-2921

NPI assigned

Feb 2, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1675296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675296000000",
    "number": "1841996675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1440 COLUMBIA ST APT 1403",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921013475",
            "telephone_number": "619-510-9895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11230 SORRENTO VALLEY RD STE 130",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921211338",
            "telephone_number": "858-682-2921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LACERDA",
        "first_name": "AMANDA",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-02",
        "last_updated": "2023-02-02",
        "certification_date": "2023-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "DDS107558",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "DDS107558",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Antonio C Lacarra, AU.D
• Megan Marie Laccone
• Aries Jay Lacdan, LVN
• Patricia Anna Lace
• Amanda Lauren Lacek, R.N.
• Ariellyn Lacerna
• Barbara Lacerra, LCSW
• Catherine Megan Lacey, M.D.
• Janet May Lacey, O.T.L.
• Jennifer Noelle Lacey

• Dentist in San Diego, CA
• Providers in San Diego, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2023; 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.