Active NPI
Sun West Dental Chandler
- Dental Clinic/Center
- Mesa, AZ
National Provider Identifier
1053798819
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- License
- D8423
- Legal business name
- SUN WEST DENTAL CHANDLER
- Doing business as
- Sunwest Dental Chandler
- Practice address
- 4704 E Southern Ave
Mesa, AZ 85206-2737 - Phone
- (480) 889-9457
- Fax
- (480) 889-9493
- NPI assigned
- Apr 30, 2015
- Last updated
- Apr 30, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- John Ballard
- Title
- Cfo
- Phone
- (480) 889-9457
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | D8423 | AZ | Primary |
Addresses
Primary practice location
4704 E Southern Ave
Mesa, AZ 85206-2737
Mailing address
2175 N Alma School Rd
Ste #C-108
Chandler, AZ 85224-2878
Phone (480) 762-8200
Other names 1
- Sunwest Dental Chandler
National Provider Directory
National Provider DirectoryLocations
2175 N Alma School Rd
Ste C108
Chandler, AZ 85224
Phone (480) 782-6200
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- General Practice Dentistry
- Chandler, AZ
- NPI 1255354213
-
- Pediatric Dentistry
- Saint Louis, MO
- NPI 1376791509
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1430352000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1430352000000",
"number": "1053798819",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2175 N ALMA SCHOOL RD",
"address_2": "STE #C-108",
"city": "CHANDLER",
"state": "AZ",
"postal_code": "852242878",
"telephone_number": "480-762-8200",
"fax_number": "480-792-1444"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4704 E SOUTHERN AVE",
"city": "MESA",
"state": "AZ",
"postal_code": "852062737",
"telephone_number": "480-889-9457",
"fax_number": "480-889-9493"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SUN WEST DENTAL CHANDLER",
"organizational_subpart": "NO",
"enumeration_date": "2015-04-30",
"last_updated": "2015-04-30",
"status": "A",
"authorized_official_last_name": "BALLARD",
"authorized_official_first_name": "JOHN",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "480-889-9457"
},
"taxonomies": [
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": "AZ",
"license": "D8423",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Sunwest Dental Chandler",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Mesa, AZ
- Sun Valley Hospital and Surgical Services, LLC
- Sun Valley Psychiatry PLLC
- Sun Valley Recovery (arizona recovery treatment)
- Sun Valley Services, Inc
- Sun Valley Wound Care LLC
- Sun West Dental III, LLC (Sun West Dental)
- Suncatcher Therapy, LLC
- Jordan Sunderhaus, DMD
- Patricia Ann Sunderland, RN
- Stephanie Beth Sundseth, MA, LPC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.