Ross Marley, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

1311 Issued in AK

Practice address

423 Halibut Point Rd
Sitka, AK 99835-7301

Phone

(907) 747-6050

Fax

(907) 747-3706

NPI assigned

Jan 13, 2010

Sex

Male

Sole proprietor

Yes

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

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Nov 22, 2023 through Nov 22, 2027

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Ross a. Marley, DMD, LLC

  • Dentist
  • Sitka, AK
  • NPI 1982947719
  NPD (past) Authorized official
• Kenneth M Cameron DMD PC

  • Dentist
  • Sitka, AK
  • NPI 1659484038
  NPD (past)

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

{
    "created_epoch": "1263340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1302480000000",
    "number": "1073843025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "423 HALIBUT POINT RD",
            "city": "SITKA",
            "state": "AK",
            "postal_code": "998357301",
            "telephone_number": "907-747-6050",
            "fax_number": "907-747-3706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "423 HALIBUT POINT RD",
            "city": "SITKA",
            "state": "AK",
            "postal_code": "998357301",
            "telephone_number": "907-747-6050",
            "fax_number": "907-747-3706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARLEY",
        "first_name": "ROSS",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-01-13",
        "last_updated": "2011-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AK",
            "license": "1311",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WA",
            "license": "DE 60126448",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Joy Malassab
• Teach Malassab
• Daniella Manaois
• Ashley Maravilla
• Evelyn Marchant, RN
• Irene Martinez, LMT
• Kristen Martinez
• William Joseph Marx, MD
• Allison Massey
• Kerinsa Mata

• Dentist in Sitka, AK
• Providers in Sitka, AK by specialty
• Dentist in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2011; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.