Active NPI
Sheila Rao, DMD
- Pediatric Dentistry
- Casa Grande, AZ
National Provider Identifier
1609971100
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- D06838
- Practice address
- 865 N Arizola Rd
Casa Grande, AZ 85122-6011 - Phone
- (520) 836-3446
- Fax
- (520) 836-2305
- NPI assigned
- Sep 13, 2006
- Last updated
- Oct 4, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | D06838 | AZ | Primary |
Addresses
Primary practice location
865 N Arizola Rd
Casa Grande, AZ 85122-6011
Mailing address
PO Box 10097
Casa Grande, AZ 85130-0020
Phone (520) 836-3446
Other practice location 1
1864 E Florence Blvd Ste 1
Casa Grande, AZ 85122-5504
Phone (520) 350-7560
Other practice location 2
10550 W Mariposa St Ste 1
Phoenix, AZ 85037-5082
Phone (602) 344-2525
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180110003551 | AZ | Order and Referring Only - Dentist | 6103185541 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D06838 | AZ | MD | Pediatric Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sun Life Family Health Center, Inc. | Past | Accepting new patients |
Interoperability endpoints
- srao81171@direct.valleywisehealth.org
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Sun Life Pediatric Dentistry
- Dental Clinic/Center
- Casa Grande, AZ
- NPI 1992166359
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158105600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1664841600000",
"number": "1609971100",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 10097",
"city": "CASA GRANDE",
"state": "AZ",
"postal_code": "851300020",
"telephone_number": "520-836-3446"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "865 N ARIZOLA RD",
"city": "CASA GRANDE",
"state": "AZ",
"postal_code": "851226011",
"telephone_number": "520-836-3446",
"fax_number": "520-836-2305"
}
],
"practiceLocations": [
{
"address_1": "1864 E Florence Blvd Ste 1",
"address_purpose": "LOCATION",
"city": "Casa Grande",
"state": "AZ",
"postal_code": "851225504",
"country_code": "US",
"telephone_number": "520-350-7560",
"fax_number": "520-788-6142",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "10550 W Mariposa St Ste 1",
"address_purpose": "LOCATION",
"city": "Phoenix",
"state": "AZ",
"postal_code": "850375082",
"country_code": "US",
"telephone_number": "602-344-2525",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RAO",
"first_name": "SHEILA",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-13",
"last_updated": "2022-10-04",
"certification_date": "2022-10-04",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "AZ",
"license": "D06838",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Casa Grande, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.