Sunrise Mountain Dental and Orthodontics

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

SUNRISE MOUNTAIN DENTAL AND ORTHODONTICS

Practice address

256 E Lake Mead Pkwy Ste C
Henderson, NV 89015-5585

Phone

(702) 703-5410

NPI assigned

Nov 6, 2024

Organization subpart

No

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

Authorized official

Name

Dusti Farr

Title

Office Manager

Phone

(435) 628-0511

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Cody S Johnson, D.M.D.

  • Pediatric Dentistry
  • St George, UT
  • NPI 1023265170
  NPD
• Mason Bart Smith

  • Pediatric Dentistry
  • St George, UT
  • NPI 1063266997
  NPD (past)

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

{
    "created_epoch": "1730851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730851200000",
    "number": "1295558344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "772 N DIXIE DR STE 101",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847707444",
            "telephone_number": "435-628-0511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "256 E LAKE MEAD PKWY STE C",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890155585",
            "telephone_number": "702-703-5410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNRISE MOUNTAIN DENTAL AND ORTHODONTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-06",
        "last_updated": "2024-11-06",
        "certification_date": "2024-11-06",
        "status": "A",
        "authorized_official_last_name": "FARR",
        "authorized_official_first_name": "DUSTI",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "435-628-0511"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allen Sung, D.O
• Sunil Kalla, M.D., Inc. PC (Nevada Cardiology Institute)
• Sunrise Chiropractic
• Sunrise Dental Henderson LLC
• Sunrise Hospital and Medical Center, LLC (ER at Boulder's Edge)
• Stefanie Sunseri
• Sunset Chiropractic Inc
• Sunset Vision Care LTD (All Things Eyes Sunset)
• Sunset Vision Eyecare, LLC
• Sunshine Adult Day Care LLC (1st paradise adult day care)

• Dental Clinic/Center in Henderson, NV
• Providers in Henderson, NV by specialty
• Dental Clinic/Center in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2024; 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.