Individual provider Active NPI

Bret Standage, D.M.D.

  • Dentist
  • Phoenix, AZ
National Provider Identifier
1831501410
Registry record updated May 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
8949 Issued in AZ
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

Updated by the provider on May 29, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.