Organization Active NPI

Sutton Dental Group, Inc.

  • Dental Clinic/Center
  • Rohnert Park, CA
National Provider Identifier
1508747403
Registry record updated Sep 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
SUTTON DENTAL GROUP, INC.
Practice address
1330 Medical Center Dr Ste 1
Rohnert Park, CA 94928-2901
Phone
(707) 585-2555
NPI assigned
Sep 9, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2025

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

Authorized official

Name
Mercedes Figueroa
Title
Credentialing Specialist
Phone
(623) 289-3392

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

1330 Medical Center Dr Ste 1
Rohnert Park, CA 94928-2901

Mailing address

19601 N Black Canyon Hwy Ste 201
Phoenix, AZ 85027-4107
Phone (707) 585-2555

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL RohnertPark

National Provider Directory

National Provider Directory

Locations

1330 Medical Center Dr
Ste 1
Rohnert Park, CA 94928
Phone (707) 585-2555

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": "1757376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757376000000",
    "number": "1508747403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19601 N BLACK CANYON HWY STE 201",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850274107",
            "telephone_number": "707-585-2555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1330 MEDICAL CENTER DR STE 1",
            "city": "ROHNERT PARK",
            "state": "CA",
            "postal_code": "949282901",
            "telephone_number": "707-585-2555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUTTON DENTAL GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-09",
        "last_updated": "2025-09-09",
        "certification_date": "2025-09-09",
        "status": "A",
        "authorized_official_last_name": "FIGUEROA",
        "authorized_official_first_name": "MERCEDES",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "623-289-3392"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "RohnertPark",
            "affiliation": "N",
            "address_1": "1330 Medical Center Dr Ste 1",
            "city": "Rohnert Park",
            "state": "CA",
            "country_code": "US",
            "postal_code": "949282901",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Rohnert Park, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2025; 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.