NPIMap

Organization Active NPI

Maricelle R. Ortiz-Luis, DDS, a Professional Corporation

  • Dental Clinic/Center
  • Carlsbad, CA
National Provider Identifier
1083874424
Registry record updated Jun 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
47653 Issued in CA
Legal business name
MARICELLE R. ORTIZ-LUIS, DDS, A PROFESSIONAL CORPORATION
Practice address
2515 Pio Pico Dr
Suite B
Carlsbad, CA 92008-1560
Phone
(760) 434-3119
Fax
(760) 434-3438
NPI assigned
Jun 10, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Maricelle R Ortiz-Luis, DDS
Title
President
Phone
(760) 434-3119

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 47653 CA Primary

Addresses

Primary practice location

2515 Pio Pico Dr
Suite B
Carlsbad, CA 92008-1560

Mailing address

2515 Pio Pico Dr
Suite B
Carlsbad, CA 92008-1560
Phone (760) 434-3119

National Provider Directory

National Provider Directory

Locations

2515 Pio Pico Dr
Ste B
Carlsbad, CA 92008
Phone (760) 434-3119

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1213056000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465344000000",
    "number": "1083874424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2515 PIO PICO DR",
            "address_2": "SUITE B",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920081560",
            "telephone_number": "760-434-3119",
            "fax_number": "760-434-3438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2515 PIO PICO DR",
            "address_2": "SUITE B",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920081560",
            "telephone_number": "760-434-3119",
            "fax_number": "760-434-3438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARICELLE R. ORTIZ-LUIS, DDS, A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-10",
        "last_updated": "2016-06-08",
        "status": "A",
        "authorized_official_last_name": "ORTIZ-LUIS",
        "authorized_official_first_name": "MARICELLE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "760-434-3119",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "47653",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carlsbad, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.