Surprise Endo PLLC

Primary specialty

EndodonticsTaxonomy code 1223E0200X

Legal business name

SURPRISE ENDO PLLC

Doing business as

Surprise Endodontics

Practice address

15294 W Brookside LN Ste 100
Surprise, AZ 85374-2446

Phone

(623) 376-7400

NPI assigned

Mar 4, 2025

Last updated

Mar 4, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ryne Jackson, DMD, MSDNPI 1619538436

Title

Owner

Phone

(480) 353-6476

Specialties & licenses 2

Addresses

Other names 1

• Surprise Endodontics Doing business as

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.

• Ryne Jackson, DMD, MSD

  • Endodontics
  • Surprise, AZ
  • NPI 1619538436
  NPD Authorized official

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

{
    "created_epoch": "1741046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741046400000",
    "number": "1285432518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15294 W BROOKSIDE LN STE 100",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853742446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15294 W BROOKSIDE LN STE 100",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853742446",
            "telephone_number": "623-376-7400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURPRISE ENDO PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-04",
        "last_updated": "2025-03-04",
        "certification_date": "2025-03-04",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "RYNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-353-6476",
        "authorized_official_credential": "DMD, MSD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Surprise Endodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Surprise Chiropractic Group, L.L.C.
• Surprise Comfort Home Care LLC
• Surprise Counseling
• Surprise Crossing Chiropractic, LLC (Surprise Crossing Chiropractic)
• Surprise Dental, LLC (West Valley Family Dental)
• Surprise Endodontics
• Surprise Facility Group, LLC
• Surprise Family Dentistry
• Surprise Family Medicine PLC
• Surprise Health Center PLLC (Surprise Health Center)

• Endodontics in Surprise, AZ
• Providers in Surprise, AZ by specialty
• Endodontics in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 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.