Elise J Daggs-Marshall, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

33745 Issued in CA

Practice address

6226 N 27TH Ave
Phoenix, AZ 85017-6241

Phone

(602) 612-2435

NPI assigned

Sep 21, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Elise J. Daggs Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618531200000",
    "number": "1518066117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6226 N 27TH AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850176241",
            "telephone_number": "602-612-2435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6226 N 27TH AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850176241",
            "telephone_number": "602-612-2435"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5674 Stoneridge Dr",
            "address_2": "Suite 111",
            "address_purpose": "LOCATION",
            "city": "Pleasanton",
            "state": "CA",
            "postal_code": "94588",
            "country_code": "US",
            "telephone_number": "925-463-0363",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "301 Sycamore Valley Rd W",
            "address_purpose": "LOCATION",
            "city": "Danville",
            "state": "CA",
            "postal_code": "945263949",
            "country_code": "US",
            "telephone_number": "925-463-0363",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "19682 Hesperian Blvd Ste 208",
            "address_purpose": "LOCATION",
            "city": "Hayward",
            "state": "CA",
            "postal_code": "945414752",
            "country_code": "US",
            "telephone_number": "510-253-2350",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAGGS-MARSHALL",
        "first_name": "ELISE",
        "middle_name": "J",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-21",
        "last_updated": "2021-04-16",
        "certification_date": "2021-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "33745",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELISE",
            "last_name": "DAGGS",
            "middle_name": "J.",
            "credential": "DDS",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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• General Practice Dentistry in Phoenix, AZ
• Providers in Phoenix, 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 Apr 16, 2021; 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.