Organization Active NPI

Arizona Smile Design Group

  • Dentist
  • Sun City West, AZ
National Provider Identifier
1215460233
Registry record updated Dec 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
ARIZONA SMILE DESIGN GROUP
Practice address
13576 W Camino del Sol Ste 18
Sun City West, AZ 85375-4427
Phone
(623) 474-3343
NPI assigned
Apr 6, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2020

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

Authorized official

Name
Adriatik Rama, DDS
Title
Manager
Phone
(623) 474-3343

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X Primary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X

Addresses

Primary practice location

13576 W Camino del Sol Ste 18
Sun City West, AZ 85375-4427

Mailing address

34225 N 27TH Drive
#241
Phoenix, AZ 85085-6091
Phone (623) 439-2280

National Provider Directory

National Provider Directory

Locations

13920 W Camino del Sol
Ste 1
Sun City West, AZ 85375
Phone (602) 810-2400

13576 W Camino del Sol
Ste 18
Sun City West, AZ 85375
Phone (502) 526-5880

Practitioners & affiliated clinicians

Practitioners 4

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": "1491436800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607385600000",
    "number": "1215460233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34225 N 27TH DRIVE",
            "address_2": "#241",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850856091",
            "telephone_number": "623-439-2280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13576 W CAMINO DEL SOL STE 18",
            "city": "SUN CITY WEST",
            "state": "AZ",
            "postal_code": "853754427",
            "telephone_number": "623-474-3343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARIZONA SMILE DESIGN GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-06",
        "last_updated": "2020-12-08",
        "certification_date": "2020-12-08",
        "status": "A",
        "authorized_official_last_name": "RAMA",
        "authorized_official_first_name": "ADRIATIK",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "623-474-3343",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "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 Dec 8, 2020; 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.