Organization Active NPI

Sarpotdar Orthodontics, PLLC

Doing business as Icon Orthodontics

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Surprise, AZ
National Provider Identifier
1326442187
Registry record updated Oct 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
D008698 Issued in AZ
Legal business name
SARPOTDAR ORTHODONTICS, PLLC
Doing business as
Icon Orthodontics
Practice address
13775 N. Litchfield Rd
Suite 108
Surprise, AZ 85379
Phone
(858) 663-4694
NPI assigned
Oct 22, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2014

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

Authorized official

Name
Dr. Andrew P Sarpotdar, D.D.S., M.S.
Title
Orthodontist
Phone
(858) 663-4694

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X D008698 AZ Primary

Addresses

Primary practice location

13775 N. Litchfield Rd
Suite 108
Surprise, AZ 85379

Mailing address

20435 N 7TH St
#2019
Phoenix, AZ 85024-6024
Phone (858) 663-4694

Other names 1

  • Icon Orthodontics Doing business as

National Provider Directory

National Provider Directory

Locations

13775 N Litchfield Rd
Ste 108
Surprise, AZ 85379
Phone (858) 663-4694

NPI Registry JSON

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

{
    "created_epoch": "1413936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413936000000",
    "number": "1326442187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20435 N 7TH ST",
            "address_2": "#2019",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850246024",
            "telephone_number": "858-663-4694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13775 N. LITCHFIELD RD",
            "address_2": "SUITE 108",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "85379",
            "telephone_number": "858-663-4694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SARPOTDAR ORTHODONTICS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-22",
        "last_updated": "2014-10-22",
        "status": "A",
        "authorized_official_last_name": "SARPOTDAR",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "ORTHODONTIST",
        "authorized_official_telephone_number": "858-663-4694",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S., M.S."
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "AZ",
            "license": "D008698",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Icon Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Oct 22, 2014; 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.