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

DR. MARY GODLEY MENDOZA DMD
NPI 1871667832
Dentist in Vista, CA

Active since November 20, 2006PECOS Enrolled
1000 VALE TERRACE DR, VISTA, CA 92084(760) 631-5000(760) 414-3885 Get Directions Write a Review

NPPES record last updated: July 20, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Mary Godley Mendoza Dmd NPPES

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

DR. MARY GODLEY MENDOZA DMD (NPI 1871667832) is an individual dentist in Vista, California, licensed in California (57049) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1871667832
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameDR. MARY GODLEY MENDOZACredential: DMD
Location Address1000 VALE TERRACE DRVista, CA 92084-5218
Mailing Address3627 Contour PlCarlsbad, CA 92010-6596 · (760) 707-3601
Phone(760) 631-5000
Fax(760) 414-3885
Sole ProprietorNo
Enumeration DateNovember 20, 2006
Last NPPES UpdateJuly 20, 2021
NPPES CertifiedJuly 20, 2021
✔ NPI 1871667832 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
Licenses✔ Licensed in CA · 57049✔ Licensed in OR · D8554
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
1000 VALE TERRACE DR, Vista, CA 92084
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Mary Godley Mendoza Dmd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92084 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$94.87 typical visit price
range $62.10 – $184.71
Typical copayment $23.71 (range $15.52 – $46.17)
Most-billed visit code 99203
Established Patient
$76.87 typical visit price
range $20.62 – $151.42
Typical copayment $19.21 (range $5.15 – $37.85)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

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

CHRISTINE DOUGHERTY LCSW
Social Worker (Clinical)
1000 VALE TERRACE DR
VISTA, CA 92084
San Diego County (760) 631-5000
PATRICIA R HOLLAND
Nurse Practitioner (Pediatrics)
1000 VALE TERRACE DR
VISTA, CA 92084
San Diego County (760) 631-5000
DIANA J MENDOZA
Case Manager/Care Coordinator
1000 VALE TERRACE DR
VISTA, CA 92084
San Diego County (760) 407-1220
MS. JESSICA HERNANDEZ
Nurse Practitioner (Family)
1000 VALE TERRACE DR
VISTA, CA 92084
San Diego County (760) 631-5000
ELIZABETH KETCHEL APCC
Counselor (Mental Health)
1000 VALE TERRACE DR
VISTA, CA 92084
San Diego County (760) 631-5000
INGRID DEKKERS-O'HARE NP
Nurse Practitioner
1000 VALE TERRACE DR
VISTA, CA 92084
San Diego County (760) 631-5000
LEILA SHABANIAN M.D.
Hospitalist
1000 VALE TERRACE DR
VISTA, CA 92084
San Diego County (760) 631-5000
PAMELA N KINGERY NP
Nurse Practitioner (Women's Health)
1000 VALE TERRACE DR
VISTA, CA 92084
San Diego County (760) 407-1220

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 Mary Mendoza's NPI number?

The NPI number for Mary Mendoza is 1871667832. It was assigned to this individual provider in the NPPES registry on November 20, 2006.

Where is Mary Mendoza located?

Mary Mendoza practices at 1000 Vale Terrace Dr, Vista, CA 92084. The listed phone number is (760) 631-5000.

What is Mary Mendoza's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Mary Mendoza enrolled in Medicare?

Yes. Mary Mendoza is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mary Mendoza was last updated on July 20, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.