NPIMap

Organization Active NPI

Sunrise Redstone PLLC

  • Dental Clinic/Center
  • Odessa, FL
National Provider Identifier
1124901368
Registry record updated Jul 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
SUNRISE REDSTONE PLLC
Practice address
16238 Redstone Way
Odessa, FL 33556-4668
Phone
(813) 822-0477
NPI assigned
Jul 28, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2025

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

Authorized official

Name
Dr. Brenda Manzanares, DMDNPI 1003487893
Title
Practice Owner
Phone
(813) 822-0477

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 Primary

Addresses

Primary practice location

16238 Redstone Way
Odessa, FL 33556-4668

Mailing address

4062 Cloud Hopper Way
Lutz, FL 33559-6933
Phone (843) 338-0023

Other names 1

  • Odessa Sunrise Dental for Kids Doing business as

National Provider Directory

National Provider Directory

Locations

16238 Redstone Way
Odessa, FL 33556
Phone (813) 822-0477

Practitioners & affiliated clinicians

Practitioners 1

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": "1753660800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753660800000",
    "number": "1124901368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4062 CLOUD HOPPER WAY",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "335596933",
            "telephone_number": "843-338-0023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16238 REDSTONE WAY",
            "city": "ODESSA",
            "state": "FL",
            "postal_code": "335564668",
            "telephone_number": "813-822-0477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNRISE REDSTONE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-28",
        "last_updated": "2025-07-28",
        "certification_date": "2025-07-25",
        "status": "A",
        "authorized_official_last_name": "MANZANARES",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_title_or_position": "PRACTICE OWNER",
        "authorized_official_telephone_number": "813-822-0477",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Odessa Sunrise Dental for Kids",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Odessa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2025; 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.