NPIMap

Ghassan Sheikh Sroujieh, DDS

Individual provider Active NPI Dentist · Sun Lakes, AZ

NPI 1366519456 · NPPES record last updated Apr 7, 2026

Key facts

NPI
1366519456
Entity type
Individual (NPI type 1)
Primary specialty
Dentist 122300000X
License
D5167 (AZ)
Practice address
10325 E Riggs Rd Ste 109
Sun Lakes, AZ 85248-7647
Phone
(480) 883-8000
NPI assigned
Nov 30, 2006
Sex
Male
Sole proprietor
Yes

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 and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
D5167AZMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Smiles Dental PLLC Current Accepting new patients
Shamy Dental Inc Dentist Past Accepting new patients
Sun Lakes Family Dental LLC Past
since Apr 30, 2023		 Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X D5167 AZ Yes

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

Other identifiers

IdentifierTypeStateIssuer
D5167OtherAZSTATE LICENSE #

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Apr 7, 2026.

{
    "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": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE #",
            "identifier": "D5167",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sun Lakes, AZ

All providers in Sun Lakes, AZ · Dentist in Arizona

Sources for this page

Verify at the official NPI Registry.