Lake Pleasant Kids Dentists and Orthodontics, LLP

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

LAKE PLEASANT KIDS DENTISTS AND ORTHODONTICS, LLP

Doing business as

Dentists on Lake Pleasant

Practice address

24775 North Lake Pleasant Parkway Suite 104
Peoria, AZ 85383

Phone

(623) 600-4638

Fax

(623) 707-4098

NPI assigned

Mar 13, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Alex R Sharifian, DDS

Title

Owner

Phone

(623) 600-4638

Specialties & licenses 1

Addresses

Other names 1

• Dentists on Lake Pleasant Doing business as

Locations

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

{
    "created_epoch": "1584057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724630400000",
    "number": "1528694247",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24775 NORTH LAKE PLEASANT PARKWAY SUITE 104",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "85383",
            "telephone_number": "623-600-4638",
            "fax_number": "623-707-4098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE PLEASANT KIDS DENTISTS AND ORTHODONTICS, LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-13",
        "last_updated": "2024-08-26",
        "certification_date": "2024-08-26",
        "status": "A",
        "authorized_official_last_name": "SHARIFIAN",
        "authorized_official_first_name": "ALEX",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "623-600-4638",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dentists on Lake Pleasant",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lake Pleasant Dentistry PC
• Lake Pleasant Family Dental
• Lake Pleasant Healthcare, Inc. (Lake Pleasant Post Acute Rehabilitation Center)
• Lake Pleasant Healthcare, Inc. (Lake Pleasant Post Acute Rehabilitation Center)
• Lake Pleasant Internal Medicine PLC
• Lake Pleasant Orthodontic Specialists
• Lakeview Lab (Fisher Medical Group)
• Corrin Helen Lakomski, NP-C
• Lala Home Care LLC
• Jennifer Lam-Ambler, PT, DPT

• Dentist in Peoria, AZ
• Providers in Peoria, AZ by specialty
• Dentist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2024; 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.