Individual provider Active NPI

Ghassan Sheikh Sroujieh, DDS

  • Dentist
  • Sun Lakes, AZ
National Provider Identifier
1366519456
Registry record updated Apr 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
D5167 Issued in AZ
Practice address
10325 E Riggs Rd Ste 109
Sun Lakes, AZ 85248-7647
Phone
(480) 883-8000
NPI assigned
Nov 30, 2006
Last updated
Apr 7, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 7, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X D5167 AZ Primary

Addresses

Primary practice location

10325 E Riggs Rd Ste 109
Sun Lakes, AZ 85248-7647

Mailing address

10325 E Riggs Rd Ste 109
Sun Lakes, AZ 85248-7647
Phone (480) 833-8000

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
D5167AZMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Smiles Dental PLLC Current Accepting new patients
Sun Lakes Family Dental LLC PastSince Apr 30, 2023 Accepting new patients
Shamy Dental Inc Dentist Past 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1164844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775520000000",
    "number": "1366519456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10325 E RIGGS RD STE 109",
            "city": "SUN LAKES",
            "state": "AZ",
            "postal_code": "852487647",
            "telephone_number": "480-833-8000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10325 E RIGGS RD STE 109",
            "city": "SUN LAKES",
            "state": "AZ",
            "postal_code": "852487647",
            "telephone_number": "480-883-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEIKH SROUJIEH",
        "first_name": "GHASSAN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-30",
        "last_updated": "2026-04-07",
        "certification_date": "2026-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AZ",
            "license": "D5167",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sun Lakes, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2026; 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.