Organization Active NPI

Sonora Dental Group Multi Specialty

  • Dentist
  • Phoenix, AZ
National Provider Identifier
1457553166
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
SONORA DENTAL GROUP MULTI SPECIALTY
Practice address
5501 N 19TH Ave
Suit 305
Phoenix, AZ 85015-2450
Phone
(602) 544-2239
Fax
(602) 544-3025
NPI assigned
Jun 4, 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
Mr. Benzad Solymani
Title
Ceo
Phone
(602) 544-2239

Specialties & licenses 1

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

Addresses

Primary practice location

5501 N 19TH Ave
Suit 305
Phoenix, AZ 85015-2450

Mailing address

5501 N 19TH Ave
Suit 305
Phoenix, AZ 85015-2450
Phone (602) 544-2239

National Provider Directory

National Provider Directory

Locations

5501 N 19th Ave
Ste 305
Phoenix, AZ 85015
Phone (602) 544-2239

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": "1180915200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1457553166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5501 N 19TH AVE",
            "address_2": "SUIT 305",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850152450",
            "telephone_number": "602-544-2239",
            "fax_number": "602-544-3025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5501 N 19TH AVE",
            "address_2": "SUIT 305",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850152450",
            "telephone_number": "602-544-2239",
            "fax_number": "602-544-3025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SONORA DENTAL GROUP MULTI SPECIALTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SOLYMANI",
        "authorized_official_first_name": "BENZAD",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "602-544-2239",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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.