1. Home
  2. Directory
  3. California
  4. San Diego
  5. Dentist
  6. NPI Profile

MR. MICHAEL JOSEPH AMODEO DDS
NPI 1790852473
Dentist - Pediatric Dentistry in San Diego, CA

Active since November 29, 2006
11616 IBERIA PLACE, SAN DIEGO, CA 92128(858) 676-5000(858) 676-5016 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Michael Joseph Amodeo Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. MICHAEL JOSEPH AMODEO DDS (NPI 1790852473) is an individual pediatric dentistry provider in San Diego, California, licensed in California (47838) and active in the NPI registry since November 2006.

NPPES Registry Identity

NPI1790852473
Entity TypeIndividualMale
Primary Taxonomy1223P0221X
Provider Legal NameMR. MICHAEL JOSEPH AMODEOCredential: DDS
Location Address11616 IBERIA PLACESan Diego, CA 92128
Mailing Address10210 Baylee LaneSan Diego, CA 92127 · (858) 312-1751 · Fax (858) 676-5016
Phone(858) 676-5000
Fax(858) 676-5016
Sole ProprietorNo
Enumeration DateNovember 29, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1790852473 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
License✔ Licensed in CA · 47838
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
11616 IBERIA PLACE, San Diego, CA 92128
Open in Google Maps ↗

Other Identifiers 1

Other809272United Concordia Ins

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. MARTIN HUGH THURSTON DDS
Dentist (Orthodontics and Dentofacial Orthopedics)
11616 IBERIA PLACE
SAN DIEGO, CA 92128
San Diego County (858) 676-5010
DIXON AND THURSTON
Dentist (Orthodontics and Dentofacial Orthopedics)
11616 IBERIA PLACE
SAN DIEGO, CA 92128
San Diego County (858) 676-5000
DR. GORDON HAMILTON DIXON DDS
Dentist (Pediatric Dentistry)
11616 IBERIA PLACE
SAN DIEGO, CA 92128
San Diego County (858) 676-5000
DR. CHRISTY D LAM DDS
Dentist (Pediatric Dentistry)
11616 IBERIA PLACE
SAN DIEGO, CA 92128
San Diego County (858) 676-5000
DR. LORI CORRINE GOOD DDS
Dentist (Pediatric Dentistry)
11616 IBERIA PLACE
SAN DIEGO, CA 92128
San Diego County (858) 676-5000
DR. CHRISTOPHER JOHN EITZEN DDS
Dentist (Orthodontics and Dentofacial Orthopedics)
11616 IBERIA PLACE
SAN DIEGO, CA 92128
San Diego County (858) 676-5000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Michael Amodeo's NPI number?

The NPI number for Michael Amodeo is 1790852473. It was assigned to this individual provider in the NPPES registry on November 29, 2006.

Where is Michael Amodeo located?

Michael Amodeo practices at 11616 Iberia Place, San Diego, CA 92128. The listed phone number is (858) 676-5000.

What is Michael Amodeo's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

What insurance does Michael Amodeo accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Florida Combined Life list Michael Amodeo as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Michael Amodeo was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.