Active NPI
Marisa Ann Zitterich, DDS
- Dentist
- Rockwall, TX
National Provider Identifier
1720537434
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 32173
- Practice address
- 1020 W Ralph Hall Pkwy
Ste 101
Rockwall, TX 75032-8710 - Phone
- (972) 771-4000
- NPI assigned
- Sep 23, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 32173 | TX | Primary |
Addresses
Primary practice location
1020 W Ralph Hall Pkwy
Ste 101
Rockwall, TX 75032-8710
Mailing address
1100 Gateway Boulevard North
Apt 2109
Forney, TX 75126
Phone (972) 342-4091
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 32173 | TX | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1474588800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1474588800000",
"number": "1720537434",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1100 GATEWAY BOULEVARD NORTH",
"address_2": "APT 2109",
"city": "FORNEY",
"state": "TX",
"postal_code": "75126",
"telephone_number": "972-342-4091"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1020 W RALPH HALL PKWY",
"address_2": "STE 101",
"city": "ROCKWALL",
"state": "TX",
"postal_code": "750328710",
"telephone_number": "972-771-4000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZITTERICH",
"first_name": "MARISA",
"middle_name": "ANN",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-09-23",
"last_updated": "2016-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TX",
"license": "32173",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rockwall, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.