Active NPI
Sarpotdar Orthodontics, PLLC
Doing business as Icon Orthodontics
- Orthodontics and Dentofacial Orthopedics Dentistry
- Surprise, AZ
National Provider Identifier
1326442187
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- D008698
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 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
National Provider Directory
National Provider DirectoryLocations
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.