Active NPI
Agnes T Stockell, DMD
- Dentist
- San Diego, CA
National Provider Identifier
1851810188
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 108649
- Practice address
- 5060 Logan Ave
San Diego, CA 92113-3014 - Phone
- (949) 413-4090
- NPI assigned
- Sep 19, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DS041481 | PA | |
| Dentist | 122300000X | 108649 | CA | Primary |
Addresses
Primary practice location
5060 Logan Ave
San Diego, CA 92113-3014
Mailing address
5060 Logan Ave
San Diego, CA 92113-3014
Phone (949) 413-4090
Other practice location 1
315 McHugh Blvd
Camp Lejeune, NC 28547-2511
Phone (910) 451-2208 ext. 203
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20231024004204 | CA | Order and Referring Only - Dentist | 6406202621 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 108649 | CA | MD | Mental Health Counselor |
| DS041481 | PA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mariechris Ancheta Sapinoso DDS PC | Current | Accepting new patients |
Locations
5060 Logan Ave
San Diego, CA 92113
Phone (619) 262-0706
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.
-
- General Practice Dentistry
- West Covina, CA
- NPI 1134799984
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1505779200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1749168000000",
"number": "1851810188",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5060 LOGAN AVE",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921133014",
"telephone_number": "949-413-4090"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5060 LOGAN AVE",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921133014",
"telephone_number": "949-413-4090"
}
],
"practiceLocations": [
{
"address_1": "315 McHugh Blvd",
"address_purpose": "LOCATION",
"city": "Camp Lejeune",
"state": "NC",
"postal_code": "285472511",
"country_code": "US",
"telephone_number": "910-451-2208 x203",
"fax_number": "910-451-8036",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "STOCKELL",
"first_name": "AGNES",
"middle_name": "T",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-09-19",
"last_updated": "2025-06-06",
"certification_date": "2025-06-06",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "PA",
"license": "DS041481",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "108649",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.