NPIMap

Organization Active NPI

Sun West Dental III, LLC

Doing business as Sun West Dental

  • Dentist
  • Apache Junction, AZ
National Provider Identifier
1417099318
Registry record updated Jul 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
D4013 Issued in AZ
Legal business name
SUN WEST DENTAL III, LLC
Doing business as
Sun West Dental
Sunwest Dental Apache
Practice address
1601 W Apache TRL Ste 2
Apache Junction, AZ 85120-3769
Phone
(480) 982-4200
Fax
(480) 982-4220
NPI assigned
Feb 14, 2007
Last updated
Jul 9, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
SUN WEST DENTAL CENTER III, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 9, 2026

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

Authorized official

Name
Mitchell Ellingson
Title
Owner/Doctor
Phone
(480) 982-4200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X D4013 AZ Primary

Addresses

Primary practice location

1601 W Apache TRL Ste 2
Apache Junction, AZ 85120-3769

Mailing address

1601 W Apache TRL Ste 2
Apache Junction, AZ 85120-3769
Phone (602) 354-5800

Other names 2

  • Sun West Dental Doing business as
  • Sunwest Dental Apache Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Sun West Dental III LLC Dba Sun West Dental9 organizations share this tax ID, including this one
Part of
Sun West Dental III LLC Dba Sun West Dental

Other organizations with this tax ID 8

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

Locations

1601 W Apache Trl
Ste 2
Apache Junction, AZ 85120
Phone (480) 982-4200

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1171411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783555200000",
    "number": "1417099318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 W APACHE TRL STE 2",
            "city": "APACHE JUNCTION",
            "state": "AZ",
            "postal_code": "851203769",
            "telephone_number": "602-354-5800",
            "fax_number": "602-354-5860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 W APACHE TRL STE 2",
            "city": "APACHE JUNCTION",
            "state": "AZ",
            "postal_code": "851203769",
            "telephone_number": "480-982-4200",
            "fax_number": "480-982-4220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUN WEST DENTAL III, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SUN WEST DENTAL CENTER III, LLC",
        "enumeration_date": "2007-02-14",
        "last_updated": "2026-07-09",
        "certification_date": "2026-07-09",
        "status": "A",
        "authorized_official_last_name": "ELLINGSON",
        "authorized_official_first_name": "MITCHELL",
        "authorized_official_title_or_position": "OWNER/DOCTOR",
        "authorized_official_telephone_number": "480-982-4200"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AZ",
            "license": "D4013",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sun West Dental",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Sun West Dental",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Sunwest Dental Apache",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Apache Junction, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.