NPIMap

Organization Active NPI

Sunwest Dental Center

Doing business as Sunwest Dental

  • Dentist
  • Mesa, AZ
National Provider Identifier
1093107237
Registry record updated Jun 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
8423 Issued in AZ
Legal business name
SUNWEST DENTAL CENTER
Doing business as
Sunwest Dental
Practice address
4704 E Southern Ave
Mesa, AZ 85206-2737
Phone
(480) 889-9457
Fax
(480) 889-9493
NPI assigned
Feb 25, 2015
Last updated
Jun 22, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2021

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

Authorized official

Name
Tracey Monaghan
Title
Regional Director
Phone
(623) 640-0267

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 8423 AZ Primary

Addresses

Primary practice location

4704 E Southern Ave
Mesa, AZ 85206-2737

Mailing address

222 S Mill Ave Ste 800
Tempe, AZ 85281-2899
Phone (623) 640-0267

Other names 1

  • Sunwest Dental Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Sun West Dental III LLC Dba Sun West Dental9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the National Provider Directory.

Locations

4704 E Southern Ave
Mesa, AZ 85206
Phone (480) 648-4037

NPI Registry JSON

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

{
    "created_epoch": "1424822400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624320000000",
    "number": "1093107237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 S MILL AVE STE 800",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852812899",
            "telephone_number": "623-640-0267",
            "fax_number": "602-354-5860"
        },
        {
            "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": "SUNWEST DENTAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-25",
        "last_updated": "2021-06-22",
        "certification_date": "2021-06-22",
        "status": "A",
        "authorized_official_last_name": "MONAGHAN",
        "authorized_official_first_name": "TRACEY",
        "authorized_official_title_or_position": "REGIONAL DIRECTOR",
        "authorized_official_telephone_number": "623-640-0267"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "AZ",
            "license": "8423",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sunwest Dental",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Sunwest Dental",
            "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 Jun 22, 2021; 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.