Organization Active NPI

Arizona Smile Design

  • General Practice Dentistry
  • Sun City West, AZ
National Provider Identifier
1194736843
Registry record updated Oct 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
ARIZONA SMILE DESIGN
Practice address
13830 W Camino del Sol
Suite 200
Sun City West, AZ 85375-4485
Phone
(623) 474-3343
Fax
(623) 533-3016
NPI assigned
Aug 10, 2006
Last updated
Oct 27, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2015

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

Authorized official

Name
Kevin Lee Mueller, D.M.D.NPI 1174534812
Title
President
Phone
(602) 881-8875

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

13830 W Camino del Sol
Suite 200
Sun City West, AZ 85375-4485

Mailing address

13920 W. Camino del Sol
Suite #1
Sun City West, AZ 85382-4639
Phone (623) 474-3343

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1155168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1445904000000",
    "number": "1194736843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13920 W. CAMINO DEL SOL",
            "address_2": "SUITE #1",
            "city": "SUN CITY WEST",
            "state": "AZ",
            "postal_code": "853824639",
            "telephone_number": "623-474-3343",
            "fax_number": "623-975-7063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13830 W CAMINO DEL SOL",
            "address_2": "SUITE 200",
            "city": "SUN CITY WEST",
            "state": "AZ",
            "postal_code": "853754485",
            "telephone_number": "623-474-3343",
            "fax_number": "623-533-3016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARIZONA SMILE DESIGN",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-10",
        "last_updated": "2015-10-27",
        "status": "A",
        "authorized_official_last_name": "MUELLER",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "602-881-8875",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sun City West, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 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.