Active NPI
Desert Sun Endodontics
- Endodontics
- Phoenix, AZ
National Provider Identifier
1548949043
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- Legal business name
- DESERT SUN ENDODONTICS
- Practice address
- 4025 W Bell Rd Ste 11
Phoenix, AZ 85053-2799 - Phone
- (602) 365-3944
- NPI assigned
- Jul 13, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jenny Garcia-Rocha
- Title
- Credentialing Lead
- Phone
- (972) 869-3789
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endodontics | 1223E0200X | Primary |
Addresses
Primary practice location
4025 W Bell Rd Ste 11
Phoenix, AZ 85053-2799
Mailing address
4025 W Bell Rd Ste 11
Phoenix, AZ 85053-2799
Phone (602) 365-3944
Other names 1
- Desert Sun Endodontics
National Provider Directory
National Provider Directory- Tax ID family
- Desert Sun Endodontics
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Endodontics
- Phoenix, AZ
- NPI 1407533961
Locations
4025 W Bell Rd
Ste 11
Phoenix, AZ 85053
Phone (602) 354-3944
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1689206400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1689206400000",
"number": "1548949043",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4025 W BELL RD STE 11",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850532799",
"telephone_number": "602-365-3944"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4025 W BELL RD STE 11",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850532799",
"telephone_number": "602-365-3944"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DESERT SUN ENDODONTICS",
"organizational_subpart": "NO",
"enumeration_date": "2023-07-13",
"last_updated": "2023-07-13",
"certification_date": "2023-06-20",
"status": "A",
"authorized_official_last_name": "GARCIA-ROCHA",
"authorized_official_first_name": "JENNY",
"authorized_official_title_or_position": "CREDENTIALING LEAD",
"authorized_official_telephone_number": "972-869-3789"
},
"taxonomies": [
{
"code": "1223E0200X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, Endodontics",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Desert Sun Endodontics",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Phoenix, AZ
- Desert Springs Care Home L.L.C.
- Desert Springs Senior Living, LLC
- Desert Star Institute for Family Planning Inc
- Desert Stone Health Care Inc
- Desert Stone Hospice Inc
- Desert Sun Endodontics
- Desert Sun Endodontics Phoenix LLC
- Desert Sun Home Health, LLC
- Desert Sun Hospice Corporation
- Desert Sun Pediatrics PC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.