Active NPI
Bret Standage, D.M.D.
- Dentist
- Phoenix, AZ
National Provider Identifier
1831501410
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 8949
- Practice address
- 822 E Union Hills Dr
Suite D-6
Phoenix, AZ 85024-8403 - Phone
- (623) 582-6789
- NPI assigned
- May 29, 2014
- Sex
- Male
- Sole proprietor
- Yes
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 | 8949 | AZ | Primary |
Addresses
Primary practice location
822 E Union Hills Dr
Suite D-6
Phoenix, AZ 85024-8403
Mailing address
822 E Union Hills Dr
Suite D-6
Phoenix, AZ 85024-8403
Phone (623) 582-6789
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Marissa Rubio-Ellis,DDS,PC | Dentist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Dentist
- Phoenix, AZ
- NPI 1356545180
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1401321600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1401321600000",
"number": "1831501410",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "822 E UNION HILLS DR",
"address_2": "SUITE 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": "SUITE D-6",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850248403",
"telephone_number": "623-582-6789"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STANDAGE",
"first_name": "BRET",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-05-29",
"last_updated": "2014-05-29",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "AZ",
"license": "8949",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 May 29, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.