NPIMap

Organization Active NPI

Marissa Rubio-Ellis,DDS,PC

  • Dentist
  • Phoenix, AZ
National Provider Identifier
1356545180
Registry record updated Aug 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
D4895 Issued in AZ
Legal business name
MARISSA RUBIO-ELLIS,DDS,PC
Practice address
822 E Union Hills Dr
D-6
Phoenix, AZ 85024-8403
Phone
(623) 582-6789
NPI assigned
Jun 14, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2008

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

Authorized official

Name
Marissa Rubio Ellis, D.D.S.
Title
Owner
Phone
(623) 582-6789

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X D4895 AZ Primary

Addresses

Primary practice location

822 E Union Hills Dr
D-6
Phoenix, AZ 85024-8403

Mailing address

822 E Union Hills Dr
D-6
Phoenix, AZ 85024-8403
Phone (623) 582-6789

Other names 1

  • Union Hills Family Dental Care & Orthodontics Doing business as

National Provider Directory

National Provider Directory

Locations

822 E Union Hills Dr
Ste D6
Phoenix, AZ 85024
Phone (623) 582-6789

Practitioners & affiliated clinicians

Practitioners 5

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": "1181779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217980800000",
    "number": "1356545180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "822 E UNION HILLS DR",
            "address_2": "D-6",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850248403",
            "telephone_number": "623-582-6789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "822 E UNION HILLS DR",
            "address_2": "D-6",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850248403",
            "telephone_number": "623-582-6789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARISSA RUBIO-ELLIS,DDS,PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-14",
        "last_updated": "2008-08-06",
        "status": "A",
        "authorized_official_last_name": "RUBIO ELLIS",
        "authorized_official_first_name": "MARISSA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "623-582-6789",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "AZ",
            "license": "D4895",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Union Hills Family Dental Care & Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2008; 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.