NPIMap

Organization Active NPI

Sdcaz LLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Glendale, AZ
National Provider Identifier
1295567808
Registry record updated Aug 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
Legal business name
SDCAZ LLC
Practice address
6677 W Thunderbird Rd Ste A124
Glendale, AZ 85306-3710
Phone
(623) 223-9677
NPI assigned
Aug 14, 2024
Organization subpart
Yes
Parent organization
SDCAZ LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 14, 2024

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

Authorized official

Name
Cassandra Wieth
Title
Payor Relations Manager
Phone
(623) 267-8121

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223X0400X Primary

Addresses

Primary practice location

6677 W Thunderbird Rd Ste A124
Glendale, AZ 85306-3710

Mailing address

6677 W Thunderbird Rd Ste A124
Glendale, AZ 85306-3710

Other names 1

  • Saperstein Orthodontics Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Sdcaz LLC6 organizations share this tax ID, including this one
Part of
Sdcaz LLC

Other organizations with this tax ID 5

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

NPI Registry JSON

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

{
    "created_epoch": "1723593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723593600000",
    "number": "1295567808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6677 W THUNDERBIRD RD STE A124",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853063710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6677 W THUNDERBIRD RD STE A124",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853063710",
            "telephone_number": "623-223-9677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SDCAZ LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SDCAZ LLC",
        "enumeration_date": "2024-08-14",
        "last_updated": "2024-08-14",
        "certification_date": "2024-08-14",
        "status": "A",
        "authorized_official_last_name": "WIETH",
        "authorized_official_first_name": "CASSANDRA",
        "authorized_official_title_or_position": "PAYOR RELATIONS MANAGER",
        "authorized_official_telephone_number": "623-267-8121"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Saperstein Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Glendale, AZ

Sources for this page

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