Organization Active NPI

Sun Valley Dentistry, Inc

Doing business as Sun Valley Dentistry

  • Dental Clinic/Center
  • Phoenix, AZ
National Provider Identifier
1073789814
Registry record updated May 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
D5978 Issued in AZ
Legal business name
SUN VALLEY DENTISTRY, INC
Doing business as
Sun Valley Dentistry
Practice address
320 W Indian School Rd
Phoenix, AZ 85013-3206
Phone
(602) 248-9445
Fax
(602) 248-9447
NPI assigned
May 1, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2008

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

Authorized official

Name
Dr. Larry Q Phan, DMDNPI 1073680427
Title
Dentist
Phone
(602) 248-9445

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X D5978 AZ Primary

Addresses

Primary practice location

320 W Indian School Rd
Phoenix, AZ 85013-3206

Mailing address

320 W Indian School Rd
Phoenix, AZ 85013-3206
Phone (602) 248-9445

Other names 1

  • Sun Valley Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

320 W Indian School Rd
Phoenix, AZ 85013
Phone (602) 248-9445

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1209600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209600000000",
    "number": "1073789814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 W INDIAN SCHOOL RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850133206",
            "telephone_number": "602-248-9445",
            "fax_number": "602-248-9447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 W INDIAN SCHOOL RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850133206",
            "telephone_number": "602-248-9445",
            "fax_number": "602-248-9447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUN VALLEY DENTISTRY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-01",
        "last_updated": "2008-05-01",
        "status": "A",
        "authorized_official_last_name": "PHAN",
        "authorized_official_first_name": "LARRY",
        "authorized_official_middle_name": "Q",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "602-248-9445",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "AZ",
            "license": "D5978",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sun Valley Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 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.