Individual provider Active NPI

Andrew Sloan, DMD

  • Dentist
  • Phoenix, AZ
National Provider Identifier
1326423120
Registry record updated Nov 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
D009288 Issued in AZ
Practice address
4519 N 40TH St
Phoenix, AZ 85018
Phone
(602) 955-4890
NPI assigned
Jul 22, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 20, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X D009288 AZ Primary

Addresses

Primary practice location

4519 N 40TH St
Phoenix, AZ 85018

Mailing address

4519 N 40TH St
Phoenix, AZ 85018-3603
Phone (602) 955-4890

Other practice location 1

34597 N 60th St Ste 101
Scottsdale, AZ 85266-5241
Phone (480) 488-9655

Other practice location 2

2174 E Williams Field Rd Ste 200
Gilbert, AZ 85295-0160
Phone (480) 567-0012

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
D009288AZMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Eric M. Peay, DDS, PC General Practice PastSince Nov 24, 2019 Accepting new patients
Sun West Dental III, LLC Dba Sun West Dental Dentist PastSince Jun 27, 2021 Accepting new patients
Sloan Peay Family Dentistry PastSince Nov 24, 2019 Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1437523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574208000000",
    "number": "1326423120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4519 N 40TH ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850183603",
            "telephone_number": "602-955-4890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4519 N 40TH ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "85018",
            "telephone_number": "602-955-4890"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "34597 N 60th St Ste 101",
            "address_purpose": "LOCATION",
            "city": "Scottsdale",
            "state": "AZ",
            "postal_code": "852665241",
            "country_code": "US",
            "telephone_number": "480-488-9655",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2174 E Williams Field Rd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Gilbert",
            "state": "AZ",
            "postal_code": "852950160",
            "country_code": "US",
            "telephone_number": "480-567-0012",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SLOAN",
        "first_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-07-22",
        "last_updated": "2019-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AZ",
            "license": "D009288",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2019; 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.