Organization Active NPI

Satelite Co LLC

  • General Practice Dentistry
  • Gilbert, AZ
National Provider Identifier
1174414841
Registry record updated Jul 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
SATELITE CO LLC
Practice address
4935 S Val Vista Dr Ste 104
Gilbert, AZ 85298-0757
Phone
(480) 482-7773
Fax
(480) 482-7774
NPI assigned
Jul 11, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2025

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

Authorized official

Name
Dr. Mario Herrejon-Ruiz, DMDNPI 1639309594
Title
Owner/Dentist
Phone
(702) 497-9858

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
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

4935 S Val Vista Dr Ste 104
Gilbert, AZ 85298-0757

Mailing address

4935 S Val Vista Dr Ste 104
Gilbert, AZ 85298-0757
Phone (480) 482-7773

Other names 1

  • Val Vista Smiles Doing business as

National Provider Directory

National Provider Directory

Locations

4935 S Val Vista Dr
Ste 104
Gilbert, AZ 85298
Phone (480) 482-7773

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": "1752192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752192000000",
    "number": "1174414841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4935 S VAL VISTA DR STE 104",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852980757",
            "telephone_number": "480-482-7773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4935 S VAL VISTA DR STE 104",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852980757",
            "telephone_number": "480-482-7773",
            "fax_number": "480-482-7774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SATELITE CO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-11",
        "last_updated": "2025-07-11",
        "certification_date": "2025-07-11",
        "status": "A",
        "authorized_official_last_name": "HERREJON-RUIZ",
        "authorized_official_first_name": "MARIO",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "702-497-9858",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Val Vista Smiles",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Gilbert, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2025; 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.