Active NPI
Lidia Marisela Marcinkowski, D.D.S.
- General Practice Dentistry
- Corona, CA
National Provider Identifier
1972561603
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 47125
- Practice address
- 13100 Magnolia Ave
Suite # B
Corona, CA 92879-5365 - Phone
- (951) 278-8426
- Fax
- (951) 278-8427
- NPI assigned
- May 2, 2006
- Last updated
- Jul 13, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 47125 | CA | Primary |
Addresses
Primary practice location
13100 Magnolia Ave
Suite # B
Corona, CA 92879-5365
Mailing address
13100 Magnolia Ave
Suite # B
Corona, CA 92879-5365
Phone (951) 278-8426
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
| License | State | Type | Specialty |
|---|---|---|---|
| 47125 | CA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lidia Marisela Marcinkowski DDS Inc | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146528000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1972561603",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13100 MAGNOLIA AVE",
"address_2": "SUITE # B",
"city": "CORONA",
"state": "CA",
"postal_code": "928795365",
"telephone_number": "951-278-8426",
"fax_number": "951-278-8427"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13100 MAGNOLIA AVE",
"address_2": "SUITE # B",
"city": "CORONA",
"state": "CA",
"postal_code": "928795365",
"telephone_number": "951-278-8426",
"fax_number": "951-278-8427"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARCINKOWSKI",
"first_name": "LIDIA",
"middle_name": "MARISELA",
"name_prefix": "Mrs.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-02",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "47125",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Corona, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.