Marwa Elkharsity, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DEN00205015 Issued in CO

Practice address

839 W Congress St
Tucson, AZ 85745-2819

Phone

(520) 670-3909

NPI assigned

May 22, 2020

Sex

Female

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

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1590105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647993600000",
    "number": "1407479504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6560 SAND LAKE SOUND RD UNIT 6320",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328197654",
            "telephone_number": "817-307-7711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "839 W CONGRESS ST",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857452819",
            "telephone_number": "520-670-3909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELKHARSITY",
        "first_name": "MARWA",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-05-22",
        "last_updated": "2022-03-23",
        "certification_date": "2022-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "DEN00205015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth K Schmahl DDS PLLC
• Elizabeth Kronlage DO LLC
• Elizabeth S. Almli M.D. PLC
• Osamah Eljerdi, PHARMD
• Ahmed Abdalla Ahmed Elkamel, MBBS
• Anas Elkheder, MD
• April Elkins, APRN
• Shoshana Elkins, MSW
• Tamara Elkins
• Ellen L. Ross-Jue, LPC.

• General Practice Dentistry in Tucson, AZ
• Providers in Tucson, AZ by specialty
• General Practice Dentistry in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2022; 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.