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DR. MARIO HERREJON-RUIZ DMD
NPI 1639309594
Dentist in Gilbert, AZ

Active since July 24, 2009PECOS Enrolled
4935 S VAL VISTA DR STE 104, GILBERT, AZ 85298(480) 482-7773(480) 482-7774 Get Directions Write a Review

NPPES record last updated: February 4, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 4, 2025, Aug 12, 2019 (2 updates tracked since 2019).

About Dr. Mario Herrejon-ruiz Dmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MARIO HERREJON-RUIZ DMD (NPI 1639309594) is an individual dentist in Gilbert, Arizona, licensed in Arizona (010475) and active in the NPI registry since July 2009. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1639309594
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. MARIO HERREJON-RUIZCredential: DMD
Location Address4935 S VAL VISTA DR STE 104Gilbert, AZ 85298-0757
Mailing Address4935 S Val Vista Dr Ste 104Gilbert, AZ 85298-0757 · (480) 482-7773 · Fax (480) 482-7774
Phone(480) 482-7773
Fax(480) 482-7774
Sole ProprietorNo
Enumeration DateJuly 24, 2009
Last NPPES UpdateFebruary 4, 20252 updates tracked since enumeration
NPPES CertifiedFebruary 4, 2025
✔ NPI 1639309594 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in AZ · 010475
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
4935 S VAL VISTA DR STE 104, Gilbert, AZ 85298
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Mario Herrejon-ruiz Dmd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85298 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$69.24 typical visit price
range $17.72 – $137.41
Typical copayment $17.31 (range $4.43 – $34.35)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SATELITE CO LLC
Dentist (General Practice)
4935 S VAL VISTA DR STE 104
GILBERT, AZ 85298
Maricopa County (480) 482-7773

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mario Herrejon-ruiz's NPI number?

The NPI number for Mario Herrejon-ruiz is 1639309594. It was assigned to this individual provider in the NPPES registry on July 24, 2009.

Where is Mario Herrejon-ruiz located?

Mario Herrejon-ruiz practices at 4935 S Val Vista Dr Ste 104, Gilbert, AZ 85298. The listed phone number is (480) 482-7773.

What is Mario Herrejon-ruiz's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Mario Herrejon-ruiz enrolled in Medicare?

Yes. Mario Herrejon-ruiz is registered in the Medicare PECOS enrollment system.

What insurance does Mario Herrejon-ruiz accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross Blue Shield of Arizona, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 10 other insurers list Mario Herrejon-ruiz as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mario Herrejon-ruiz was last updated on February 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.