Marija Mitic, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

DE60750233 Issued in WA

Practice address

125 W McDowell Rd Ste B
Phoenix, AZ 85003-1223

Phone

(480) 828-7563

NPI assigned

May 15, 2017

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• HD Dentistry

  • Dental Clinic/Center
  • Phoenix, AZ
  • NPI 1548932999
  NPD Authorized official
• Healing Dentistry PLLC

  • Dental Clinic/Center
  • Phoenix, AZ
  • NPI 1063001022
  NPD Authorized official
• Sleep Apnea Clinic LLC

  • Dentist
  • Phoenix, AZ
  • NPI 1457133167
  NPD Authorized official

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

{
    "created_epoch": "1494806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740700800000",
    "number": "1922535426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 W MCDOWELL RD STE B",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850031223",
            "telephone_number": "480-828-7563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 W MCDOWELL RD STE B",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850031223",
            "telephone_number": "480-828-7563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITIC",
        "first_name": "MARIJA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-15",
        "last_updated": "2025-02-28",
        "certification_date": "2025-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WA",
            "license": "DE60750233",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tywana Mitchell
• Lafrabya Nataka Mitchem-Westbrook, MD
• Sara Rose Mitchem, MS CCC-SLP
• Angelica Mitchum
• Alim P Mitha, M.D.
• Helen Mitiku
• Jose Daniel Mitjavila, MD
• Subir K Mitra, MD
• Sotiris George Mitropanopoulos, MD
• Mitsrain'S House of Hope LLC

• Dentist in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Dentist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2025; 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.