Sonrisa Dental, LLC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

SONRISA DENTAL, LLC

Practice address

1701 W Glendale Ave
Suite 1
Phoenix, AZ 85021-9701

Phone

(602) 466-1213

Fax

(602) 466-3874

NPI assigned

Apr 12, 2013

Organization subpart

No

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

Authorized official

Name

Lany Sicalo

Title

Administrator

Phone

(480) 751-7708

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1365724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1365724800000",
    "number": "1346683950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9216 N CENTRAL AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850202416",
            "telephone_number": "602-466-1213",
            "fax_number": "602-466-3874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 W GLENDALE AVE",
            "address_2": "SUITE 1",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850219701",
            "telephone_number": "602-466-1213",
            "fax_number": "602-466-3874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SONRISA DENTAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-12",
        "last_updated": "2013-04-12",
        "status": "A",
        "authorized_official_last_name": "SICALO",
        "authorized_official_first_name": "LANY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "480-751-7708"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sonoran Sunrise Therapy, LLC
• Sonoran Surgery Centers, LLC
• Sonoran Tranquility Home
• Sonospine Arizona LLC
• Sonospine LLC
• Sonrisa Family Dentistry
• Sonrisas (Sonrisas dental)
• Sonus-USA, Inc.
• Sonus-USA, Inc.
• Arun Sood, M.D

• Dentist in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Dentist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2013; 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.