Sun City Dental Associates LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

SUN CITY DENTAL ASSOCIATES LLC

Doing business as

Gold Star Dental Station

Practice address

13925 W Meeker Blvd Ste 2
Sun City West, AZ 85375-4431

Phone

(623) 537-5327

Fax

(623) 537-5329

NPI assigned

Oct 14, 2019

Organization subpart

No

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

Authorized official

Name

Faith Gaskins

Title

Director of Credentialing

Phone

(972) 869-3789

Specialties & licenses 1

Addresses

Other names 1

• Gold Star Dental Station Doing business as

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

{
    "created_epoch": "1571011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708473600000",
    "number": "1013559798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13925 W MEEKER BLVD STE 2",
            "city": "SUN CITY WEST",
            "state": "AZ",
            "postal_code": "853754431",
            "telephone_number": "623-537-5327",
            "fax_number": "623-537-5329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13925 W MEEKER BLVD STE 2",
            "city": "SUN CITY WEST",
            "state": "AZ",
            "postal_code": "853754431",
            "telephone_number": "623-537-5327",
            "fax_number": "623-537-5329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUN CITY DENTAL ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-14",
        "last_updated": "2024-02-21",
        "certification_date": "2024-02-21",
        "status": "A",
        "authorized_official_last_name": "GASKINS",
        "authorized_official_first_name": "FAITH",
        "authorized_official_title_or_position": "DIRECTOR OF CREDENTIALING",
        "authorized_official_telephone_number": "972-869-3789"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gold Star Dental Station",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kimberly Y Steward, PT, DPT, OCS
• Beth M Stoddard, MA, LPC, LISAC
• Lyudmyla Storch, NP
• Kathleen Anne Street, OTR
• Sun Chiropractic PLLC
• Sun City West Chiropractic, PLLC
• Sun City West Dialysis Center LLC (Westbrook Dialysis)
• Sun City West Eye Care PLLC
• Sun Health Corporation (Sun Health Del E. Webb Hospital)
• Sun Health Corporation

• General Practice Dentistry in Sun City West, AZ
• Providers in Sun City West, AZ by specialty
• General Practice Dentistry in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2024; 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.