Organization Active NPI

Sun West Dental Center 2, LLC

  • Dentist
  • Phoenix, AZ
National Provider Identifier
1376685560
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
D5795 Issued in AZ
Legal business name
SUN WEST DENTAL CENTER 2, LLC
Practice address
3227 E Bell Rd
# 120
Phoenix, AZ 85032-2700
Phone
(602) 923-2400
Fax
(602) 923-2410
NPI assigned
Feb 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. James Michael Skaalen, D.D.S.NPI 1154352375
Title
Senior Provider
Phone
(602) 923-2400

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X D5795 AZ Primary

Addresses

Primary practice location

3227 E Bell Rd
# 120
Phoenix, AZ 85032-2700

Mailing address

600 E University Dr
Corp.
Mesa, AZ 85203-7927
Phone (480) 610-6440

Other names 1

  • Sun West Dental Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Sun West Dental Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

600 E University Dr
Mesa, AZ 85203
Phone (480) 610-5100

3227 E Bell Rd
Ste 120
Phoenix, AZ 85032
Phone (602) 923-2400

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1376685560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 E UNIVERSITY DR",
            "address_2": "CORP.",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852037927",
            "telephone_number": "480-610-6440",
            "fax_number": "480-610-6516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3227 E BELL RD",
            "address_2": "# 120",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850322700",
            "telephone_number": "602-923-2400",
            "fax_number": "602-923-2410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUN WEST DENTAL CENTER 2, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SKAALEN",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "SENIOR PROVIDER",
        "authorized_official_telephone_number": "602-923-2400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "AZ",
            "license": "D5795",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sun West Dental Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.