NPIMap

Organization Active NPI

West Sunrise Dentistry, PA

Doing business as West Sunrise Dentistry

  • Dentist
  • Sunrise, FL
National Provider Identifier
1619342268
Registry record updated Dec 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
WEST SUNRISE DENTISTRY, PA
Doing business as
West Sunrise Dentistry
Practice address
9310 W Commercial Blvd
Sunrise, FL 33351-4302
Phone
(954) 648-2414
Fax
(954) 741-0815
NPI assigned
Dec 8, 2015
Last updated
Dec 8, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2015

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

Authorized official

Name
Katie McCann
Title
Owner
Phone
(954) 648-2414

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

9310 W Commercial Blvd
Sunrise, FL 33351-4302

Mailing address

17000 Red Hill Avenue
Irvine, CA 92614
Phone (714) 845-8900

Other names 1

  • WEST SUNRISE DENTISTRY Doing business as

National Provider Directory

National Provider Directory

Locations

9310 W Commercial Blvd
Sunrise, FL 33351
Phone (954) 648-2414

Practitioners & affiliated clinicians

Practitioners 5

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": "1449532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449532800000",
    "number": "1619342268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17000 RED HILL AVENUE",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "92614",
            "telephone_number": "714-845-8900",
            "fax_number": "303-952-0892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9310 W COMMERCIAL BLVD",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333514302",
            "telephone_number": "954-648-2414",
            "fax_number": "954-741-0815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST SUNRISE DENTISTRY, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-08",
        "last_updated": "2015-12-08",
        "status": "A",
        "authorized_official_last_name": "MCCANN",
        "authorized_official_first_name": "KATIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-648-2414"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WEST SUNRISE DENTISTRY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sunrise, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2015; 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.