Organization Active NPI

Sun West Dental Chandler

  • Dental Clinic/Center
  • Mesa, AZ
National Provider Identifier
1053798819
Registry record updated Apr 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
D8423 Issued in AZ
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, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2015

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)CodeLicenseStatePrimary
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 Doing business as

National Provider Directory

National Provider Directory

Locations

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.

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

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.

Verify at the official NPI Registry.