Organization Active NPI

Streight Smile Center, PLLC

  • General Practice Dentistry
  • Surprise, AZ
National Provider Identifier
1306052956
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
STREIGHT SMILE CENTER, PLLC
Practice address
18775 N Reems Rd
Suite 300
Surprise, AZ 85374-8647
Phone
(623) 584-3965
Fax
(623) 584-0130
NPI assigned
May 14, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. John A. Streight, D.D.S.
Title
Owner
Phone
(623) 584-3965

Specialties & licenses 1

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

Addresses

Primary practice location

18775 N Reems Rd
Suite 300
Surprise, AZ 85374-8647

Mailing address

18775 N Reems Rd
Suite 300
Surprise, AZ 85374-8647
Phone (623) 584-3965

National Provider Directory

National Provider Directory

Locations

18775 N Reems Rd
Ste 300
Surprise, AZ 85374
Phone (623) 556-5510

NPI Registry JSON

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

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1306052956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18775 N REEMS RD",
            "address_2": "SUITE 300",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853748647",
            "telephone_number": "623-584-3965",
            "fax_number": "623-584-0130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18775 N REEMS RD",
            "address_2": "SUITE 300",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853748647",
            "telephone_number": "623-584-3965",
            "fax_number": "623-584-0130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STREIGHT SMILE CENTER, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "STREIGHT",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "623-584-3965",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Surprise, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.