Active NPI
Sdcaz LLC
Doing business as Paseo Ranch Pediatric Dentistry and Orthodontics
- Pediatric Dentistry
- Glendale, AZ
National Provider Identifier
1326879842
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- Legal business name
- SDCAZ LLC
- Doing business as
- Paseo Ranch Pediatric Dentistry and Orthodontics
- Practice address
- 6677 W Thunderbird Rd Ste A124
Glendale, AZ 85306-3710 - Phone
- (623) 223-9677
- NPI assigned
- Aug 8, 2024
- Last updated
- Aug 8, 2024
- Organization subpart
- Yes
- Parent organization
- SDCAZ LLC
NPPES NPI Registry
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | NU | ||
| Pediatric Dentistry | 1223P0221X | NU | 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
- Paseo Ranch Pediatric Dentistry and Orthodontics
National Provider Directory
National Provider Directory- Tax ID family
- Sdcaz LLC
- Part of
- Sdcaz LLC
Other organizations with this tax ID 5
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Kidz Connextion
- Orthodontics and Dentofacial Orthopedics Dentistry
- Phoenix, AZ
- NPI 1164148987
-
dba Saperstein Orthodontics
- Orthodontics and Dentofacial Orthopedics Dentistry
- Glendale, AZ
- NPI 1295567808
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1723075200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1723075200000",
"number": "1326879842",
"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": "2024-08-08",
"last_updated": "2024-08-08",
"certification_date": "2024-08-08",
"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": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Paseo Ranch Pediatric Dentistry and 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 8, 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.