Organization Active NPI

Rita R Marroghi DDS,P.C

  • Dentist
  • Pontiac, MI
National Provider Identifier
1174064273
Registry record updated Mar 9, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
2901016756 Issued in MI
Legal business name
RITA R MARROGHI DDS,P.C
Practice address
683 W Huron St
Pontiac, MI 48341-1522
Phone
(248) 335-1000
NPI assigned
Mar 9, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2017

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

Authorized official

Name
Dr. Rita R Marroghi-Jabro, DDSNPI 1386714632
Title
President
Phone
(248) 790-9600

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 2901016756 MI Primary

Addresses

Primary practice location

683 W Huron St
Pontiac, MI 48341-1522

Mailing address

683 W Huron St
Pontiac, MI 48341-1522
Phone (248) 335-1000

Other identifiers 1

IdentifierTypeStateIssuer
1386714632MedicaidMI

Other names 1

  • the dentist Doing business as

National Provider Directory

National Provider Directory

Locations

683 W Huron St
Pontiac, MI 48341
Phone (248) 335-1000

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": "1489017600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489017600000",
    "number": "1174064273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "683 W HURON ST",
            "city": "PONTIAC",
            "state": "MI",
            "postal_code": "483411522",
            "telephone_number": "248-335-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "683 W HURON ST",
            "city": "PONTIAC",
            "state": "MI",
            "postal_code": "483411522",
            "telephone_number": "248-335-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RITA R MARROGHI DDS,P.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-09",
        "last_updated": "2017-03-09",
        "status": "A",
        "authorized_official_last_name": "MARROGHI-JABRO",
        "authorized_official_first_name": "RITA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "248-790-9600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901016756",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1386714632",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "the dentist",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pontiac, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2017; 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.