NPIMap

Organization Active NPI

Sundance Dental Group, LLP

  • General Practice Dentistry
  • Buckeye, AZ
National Provider Identifier
1487842423
Registry record updated Apr 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
SUNDANCE DENTAL GROUP, LLP
Practice address
825 S Watson Rd Ste 101
Buckeye, AZ 85326-3435
Phone
(623) 386-7319
Fax
(623) 386-7609
NPI assigned
Oct 3, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2022

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

Authorized official

Name
Dr. Don Parker, DDSNPI 1578706974
Title
Owner Doctor
Phone
(602) 903-6646

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
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

825 S Watson Rd Ste 101
Buckeye, AZ 85326-3435

Mailing address

PO Box 920050
Dallas, TX 75392-0050
Phone (714) 845-8890

Other names 1

  • Sundance Dental Group Doing business as

National Provider Directory

National Provider Directory

Locations

825 S Watson Rd
Ste 101
Buckeye, AZ 85326
Phone (623) 386-7319

946 S Watson Rd
Ste 101
Buckeye, AZ 85326
Phone (623) 267-4676

Practitioners & affiliated clinicians

Practitioners 9

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": "1191369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649808000000",
    "number": "1487842423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 920050",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753920050",
            "telephone_number": "714-845-8890",
            "fax_number": "303-952-0892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 S WATSON RD STE 101",
            "city": "BUCKEYE",
            "state": "AZ",
            "postal_code": "853263435",
            "telephone_number": "623-386-7319",
            "fax_number": "623-386-7609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNDANCE DENTAL GROUP, LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-03",
        "last_updated": "2022-04-13",
        "certification_date": "2022-04-13",
        "status": "A",
        "authorized_official_last_name": "PARKER",
        "authorized_official_first_name": "DON",
        "authorized_official_title_or_position": "OWNER DOCTOR",
        "authorized_official_telephone_number": "602-903-6646",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sundance Dental Group",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Sundance Dental Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Buckeye, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2022; 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.