NPIMap

Organization Active NPI

Sunwest Dental Center, III LLC

  • General Practice Dentistry
  • Prescott Valley, AZ
National Provider Identifier
1285956524
Registry record updated Jul 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
4013 Issued in AZ
Legal business name
SUNWEST DENTAL CENTER, III LLC
Practice address
8256 E. Highway 69
Prescott Valley, AZ 86314-8631
Phone
(928) 772-4433
Fax
(928) 772-5582
NPI assigned
Feb 26, 2010
Organization subpart
Yes
Parent organization
SUNWEST DENTAL CENTER III, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 14, 2021

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

Authorized official

Name
Tracey Dalton
Title
Credentialing Specialist
Phone
(623) 640-0267

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 4013 AZ Primary

Addresses

Primary practice location

8256 E. Highway 69
Prescott Valley, AZ 86314-8631

Mailing address

8256 E. Highway 69
Prescott Valley, AZ 86314
Phone (602) 354-5800

Other names 1

  • Sunwest Dental Prescott Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Sunwest Dental Center9 organizations share this tax ID, including this one
Part of
Sunwest Dental Center

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1267142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626220800000",
    "number": "1285956524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8256 E. HIGHWAY 69",
            "city": "PRESCOTT VALLEY",
            "state": "AZ",
            "postal_code": "86314",
            "telephone_number": "602-354-5800",
            "fax_number": "602-354-5860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8256 E. HIGHWAY 69",
            "city": "PRESCOTT VALLEY",
            "state": "AZ",
            "postal_code": "863148631",
            "telephone_number": "928-772-4433",
            "fax_number": "928-772-5582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNWEST DENTAL CENTER, III LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SUNWEST DENTAL CENTER III, LLC",
        "enumeration_date": "2010-02-26",
        "last_updated": "2021-07-14",
        "certification_date": "2021-06-22",
        "status": "A",
        "authorized_official_last_name": "DALTON",
        "authorized_official_first_name": "TRACEY",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "623-640-0267"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "4013",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sunwest Dental Prescott",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Sunwest Dental Prescott",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Prescott Valley, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2021; 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.