Sunwest Dental Center IV, LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D4013 Issued in AZ

Legal business name

SUNWEST DENTAL CENTER IV, LLC

Doing business as

Sunwest Dental Center

Practice address

14557 W Grand Ave
Suite 106
Surprise, AZ 85374-7104

Phone

(602) 864-5558

Fax

(602) 864-2451

NPI assigned

Nov 19, 2013

Last updated

Dec 16, 2021By 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

Tracey Dalton

Title

Regional Manager

Phone

(623) 680-3977

Specialties & licenses 1

Addresses

Other names 1

• Sunwest Dental Center Doing business as

Tax ID family

Sun West Dental IV LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Sun West Dental IV, LLC

  dba Sunwest Dental

  • General Practice Dentistry
  • Surprise, AZ
  • NPI 1689716508
  NPD tax ID

Locations

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.

• Holly Ann Lerma, D.D.S

  • General Practice Dentistry
  • Scottsdale, AZ
  • NPI 1437350469
  NPD (past)

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

{
    "created_epoch": "1384819200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1639612800000",
    "number": "1295165710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14557 W GRAND AVE STE B106",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853747104",
            "telephone_number": "623-374-3102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14557 W GRAND AVE",
            "address_2": "SUITE 106",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853747104",
            "telephone_number": "602-864-5558",
            "fax_number": "602-864-2451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNWEST DENTAL CENTER IV, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-19",
        "last_updated": "2021-12-16",
        "certification_date": "2021-12-16",
        "status": "A",
        "authorized_official_last_name": "DALTON",
        "authorized_official_first_name": "TRACEY",
        "authorized_official_title_or_position": "REGIONAL MANAGER",
        "authorized_official_telephone_number": "623-680-3977"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "D4013",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sunwest Dental Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Sunwest Dental Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sunlight Dental
• Sunrise Medical Associates LLC
• Sunrise Primary Care Partners PLLC
• Sunrose Anesthesia PLLC
• Sunshine Smiles Orthodontics LLC (Surprise Pediatric Dentistry and Orthodontics)
• Supreme Healthcare LLC
• Surgical Ally, LLC (Surgical Ally)
• Nicole Surman, PA
• Surprise Behavioral Health LLC
• Surprise Behavioral Hospital LP

• General Practice Dentistry in Surprise, AZ
• Providers in Surprise, AZ by specialty
• General Practice Dentistry in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 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.