Organization Active NPI

Sunrise Orthodontics PLLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Ponte Vedra Beach, FL
National Provider Identifier
1588464663
Registry record updated Mar 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
Legal business name
SUNRISE ORTHODONTICS PLLC
Practice address
10580 US-1 Hwy N
Ste 409
Ponte Vedra Beach, FL 32081-8550
Phone
(904) 913-0123
NPI assigned
Mar 17, 2025
Last updated
Mar 17, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2025

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

Authorized official

Name
Steven Dent, DDS, MSNPI 1194265447
Title
Orthodontist
Phone
(904) 913-0123

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
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X NU Primary

Addresses

Primary practice location

10580 US-1 Hwy N
Ste 409
Ponte Vedra Beach, FL 32081-8550

Mailing address

10580 US-1 Hwy N
Ste 409
Ponte Vedra Beach, FL 32081-8550

National Provider Directory

National Provider Directory

Locations

10580 US Highway 1 N
Ste 409
Ponte Vedra Beach, FL 32081
Phone (904) 913-0123

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1742169600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742169600000",
    "number": "1588464663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10580 US-1 HWY N",
            "address_2": "STE 409",
            "city": "PONTE VEDRA BEACH",
            "state": "FL",
            "postal_code": "320818550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10580 US-1 HWY N",
            "address_2": "STE 409",
            "city": "PONTE VEDRA BEACH",
            "state": "FL",
            "postal_code": "320818550",
            "telephone_number": "904-913-0123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNRISE ORTHODONTICS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-17",
        "last_updated": "2025-03-17",
        "certification_date": "2025-03-17",
        "status": "A",
        "authorized_official_last_name": "DENT",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "ORTHODONTIST",
        "authorized_official_telephone_number": "904-913-0123",
        "authorized_official_credential": "DDS, MS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ponte Vedra Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.