Organization Active NPI

Sparkling Smile Care Services

  • General Practice Dentistry
  • Phoenix, AZ
National Provider Identifier
1275418899
Registry record updated Aug 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
SPARKLING SMILE CARE SERVICES
Doing business as
Sparkle Smile Dental Care
Practice address
3201 W Peoria Ave Ste A103-104
Phoenix, AZ 85029-4608
Phone
(623) 600-4330
Fax
(602) 609-4033
NPI assigned
Aug 11, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2025

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

Authorized official

Name
Mardin Yokhana, DMD
Title
Practice Manager
Phone
(623) 600-4330

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

3201 W Peoria Ave Ste A103-104
Phoenix, AZ 85029-4608

Mailing address

3201 W Peoria Ave Ste A103A104
Phoenix, AZ 85029-4608
Phone (623) 600-4330

Other names 1

  • Sparkle Smile Dental Care Doing business as

National Provider Directory

National Provider Directory

Locations

3201 W Peoria Ave
Ste A103104
Phoenix, AZ 85029
Phone (623) 600-4330

3201 W Peoria Ave
Ste A103
Phoenix, AZ 85029

NPI Registry JSON

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

{
    "created_epoch": "1754870400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754870400000",
    "number": "1275418899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3201 W PEORIA AVE STE A103A104",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850294608",
            "telephone_number": "623-600-4330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3201 W PEORIA AVE STE A103-104",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850294608",
            "telephone_number": "623-600-4330",
            "fax_number": "602-609-4033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPARKLING SMILE CARE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-11",
        "last_updated": "2025-08-11",
        "certification_date": "2025-08-11",
        "status": "A",
        "authorized_official_last_name": "YOKHANA",
        "authorized_official_first_name": "MARDIN",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "623-600-4330",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sparkle Smile Dental Care",
            "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 Aug 11, 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.