NPIMap

Organization Active NPI

Sunrise Mall F.D.C., P.a.

  • Dentist
  • Corpus Christi, TX
National Provider Identifier
1023276268
Registry record updated May 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
0008481 Issued in TX
Legal business name
SUNRISE MALL F.D.C., P.A.
Practice address
5858 S Padre Island Dr
Ste 54a
Corpus Christi, TX 78412-3920
Phone
(361) 994-4867
Fax
(361) 994-1655
NPI assigned
May 23, 2008
Last updated
May 23, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 23, 2008

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

Authorized official

Name
Lynn Armstrong
Title
Regional Manager
Phone
(505) 328-4867

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 0008481 TX Primary

Addresses

Primary practice location

5858 S Padre Island Dr
Ste 54a
Corpus Christi, TX 78412-3920

Mailing address

5858 S Padre Island Dr
Ste 54a
Corpus Christi, TX 78412-3920
Phone (361) 994-4867

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1211500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211500800000",
    "number": "1023276268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5858 S PADRE ISLAND DR",
            "address_2": "STE 54A",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784123920",
            "telephone_number": "361-994-4867",
            "fax_number": "361-994-1655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5858 S PADRE ISLAND DR",
            "address_2": "STE 54A",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784123920",
            "telephone_number": "361-994-4867",
            "fax_number": "361-994-1655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNRISE MALL F.D.C., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-23",
        "last_updated": "2008-05-23",
        "status": "A",
        "authorized_official_last_name": "ARMSTRONG",
        "authorized_official_first_name": "LYNN",
        "authorized_official_title_or_position": "REGIONAL MANAGER",
        "authorized_official_telephone_number": "505-328-4867"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "0008481",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corpus Christi, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2008; 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.