MARICELLE R. ORTIZ-LUIS, DDS, A PROFESSIONAL CORPORATION (NPI# 1083874424) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083874424 |
| Entity Type | Organization |
| Organization Name | MARICELLE R. ORTIZ-LUIS, DDS, A PROFESSIONAL CORPORATION |
| Practice Address |
2515 Pio Pico Dr Suite B Carlsbad CA 92008-1560 |
| Practice Telephone | 7604343119 |
| Practice Fax Number | 7604343438 |
| Mailing Telephone | 7604343119 |
| Mailing Fax Number | 7604343438 |
| Enumeration Date | 2008-06-10 |
| Last Update Date | 2016-06-08 |
| Authorized Official Name | DR. MARICELLE R ORTIZ-LUIS (PRESIDENT) |
| Authorized Official Telephone | 7604343119 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
47653 | CA | Ambulatory Health Care Facilities |
| Street Address |
2515 PIO PICO DR SUITE B |
| City | CARLSBAD |
| State | CA |
| Zip Code | 92008-1560 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083791578 | Elaine Marie Hubbard | Dental Hygienist | 2515 Pio Pico Dr, Carlsbad, CA 92008-1560 | 2006-11-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760029706 | Todd F Ovokaitys | Internal Medicine | 2260 Rutherford Road, Suite 101, C/o Gematria, Carlsbad, CA 92008 | 2019-12-10 |
| 1710548375 | San Diego Dental Anesthesia | Dentist | 1287 Carlsbad Village Drive, Carlsbad, CA 92008 | 2019-06-25 |
| 1972096717 | Toshiya Kawano | Chiropractor | 5650 El Camino Real Ste 285, Carlsbad, CA 92008 | 2018-06-06 |
| 1184111684 | Brittany Lauren Cheatham | Nurse Practitioner | 345 Walnut Ave, Carlsbad, CA 92008 | 2018-04-19 |
| 1770092843 | Michele Laporte Downey | Counselor | 2910 Jefferson St, Suite 100, Carsbad, CA 92008 | 2017-09-21 |
| 1225567142 | Shana Smith | Occupational Therapy Assistant | 5870 El Camino Real, Carlsbad, CA 92008 | 2017-06-05 |
| 1336690395 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 2559 Camino Real Rd, Carlsbad, CA 92008 | 2016-10-14 |
| 1093174849 | Nhi Thi Diem Nguyen | Pharmacist | 6850 Avenida Encinas, Carlsbad, CA 92008 | 2016-02-22 |
| 1912362112 | Brooke Ann Bellomio | Psychologist | 2558 Roosevelt St. Suite 203, Carlsbad, CA 92008 | 2015-12-15 |
| 1285005660 | Thanh-trinh Doan | Optometrist | 2322 Rutherford Rd., Carlsbad, CA 92008 | 2015-10-12 |
| Find all providers in zip 92008 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225523855 | Carlsbad Family Dentistry | Clinic/Center | 2010 Cassia Rd Ste 110, Carlsbad, CA 92009-4210 | 2018-06-26 |
| 1184968992 | Thirty-two Pearls Smile Spa | Clinic/Center | 114 W Fox St, Carlsbad, NM 88220-6212 | 2012-11-16 |
| 1770965055 | Drew Addy Dds Inc. | Clinic/Center | 2879 Hope Ave, Carlsbad, CA 92008-1833 | 2015-06-23 |
| 1871995647 | Stephen A. Lawrence, Dds, Inc. | Clinic/Center | 785 Grand Ave, Suite 206, Carlsbad, CA 92008-2370 | 2014-09-23 |
| 1841628856 | Herbert S Woodward IIi Dds Inc | Clinic/Center | 325 Carlsbad Village Dr, Suite A-2, Carlsbad, CA 92008-2928 | 2013-10-30 |
| 1679801930 | Remodel Cosmetic Dentistry | Clinic/Center | 6221 Metropolitan St, Suite 102, Carlsbad, CA 92009-3096 | 2009-11-25 |
| 1114132107 | Keon-jung Kim Professional Dental Corporation | Clinic/Center | 3257 Camino De Los Coches, #303, Carlsbad, CA 92009-8966 | 2007-05-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861093551 | Arshdeep Kaur Dental Corporation | Clinic/Center | 345 F St Ste 180, Chula Vista, CA 91910-2648 | 2020-11-08 |
| 1699376350 | Funto Ayanleke Dds | Clinic/Center | 1116 W Tokay St Ste A, Lodi, CA 95240-3852 | 2020-11-07 |
| 1427658541 | Anthony Ngo, Dmd Professional Corporation | Clinic/Center | 18361 Beach Blvd, Huntington Beach, CA 92648-1310 | 2020-10-28 |
| 1912507948 | Alexander Phillips Dds Inc | Clinic/Center | 120 C Ave Ste 100, Coronado, CA 92118-1992 | 2020-10-28 |
| 1912507203 | George K Nguyen Dds, PC | Clinic/Center | 2097 Compton Ave Ste 104, Corona, CA 92881-7289 | 2020-10-27 |
| 1316547524 | Ingersoll Park Marina Gp Dental Corporation | Clinic/Center | 2301 Park Marina Dr Ste 27, Redding, CA 96001-2158 | 2020-10-27 |
| 1396344073 | Charles Kim Dental Corporation | Clinic/Center | 15651 Imperial Hwy Ste 204, La Mirada, CA 90638-1653 | 2020-10-22 |
| 1104425131 | Hossein Malakooti A Dental Corporation | Clinic/Center | 16540 Merrill Ave, Fontana, CA 92335 | 2020-10-21 |
| 1760081129 | Anthony Pham Dental Corp | Clinic/Center | 2658 E Garvey Ave S, West Covina, CA 91791-2113 | 2020-10-17 |
| 1215535182 | Park and Park Dental Group Partnership | Clinic/Center | 473 E Alessandro Blvd Ste A, Riverside, CA 92508-6021 | 2020-10-13 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.