Sun Valley Spine and Orthopedics, PLLC

Primary specialty

Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X

Legal business name

SUN VALLEY SPINE AND ORTHOPEDICS, PLLC

Practice address

1440 E Missouri Ave Ste C102
Phoenix, AZ 85014-2459

Phone

(480) 877-1497

Fax

(480) 582-0366

NPI assigned

Oct 1, 2021

Organization subpart

No

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

Authorized official

Name

Seth Jacknowitz

Title

Cro

Phone

(469) 459-9754

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jamie Hoang, PA-C

  • Medical Physician Assistant
  • Tucson, AZ
  • NPI 1760107932
  NPD (past)

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

{
    "created_epoch": "1633046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697587200000",
    "number": "1619649258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4400 STATE HIGHWAY 121 STE 405",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750564561",
            "telephone_number": "469-459-9754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1440 E MISSOURI AVE STE C102",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850142459",
            "telephone_number": "480-877-1497",
            "fax_number": "480-582-0366"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6442 E Speedway Blvd Ste 102",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857100012",
            "country_code": "US",
            "telephone_number": "480-877-1497",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1763 W 24th St Ste 105",
            "address_purpose": "LOCATION",
            "city": "Yuma",
            "state": "AZ",
            "postal_code": "853646219",
            "country_code": "US",
            "telephone_number": "480-877-1497",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SUN VALLEY SPINE AND ORTHOPEDICS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-01",
        "last_updated": "2023-10-18",
        "certification_date": "2023-09-27",
        "status": "A",
        "authorized_official_last_name": "JACKNOWITZ",
        "authorized_official_first_name": "SETH",
        "authorized_official_title_or_position": "CRO",
        "authorized_official_telephone_number": "469-459-9754"
    },
    "taxonomies": [
        {
            "code": "207XS0117X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sun Valley Anesthesiologists LTD
• Sun Valley Dentistry, Inc
• Sun Valley Family Care PC
• Sun Valley Family Vate
• Sun Valley Hand Surgery, LTD.
• Sun Valley Ventures
• Sun West Dental Center 2, LLC
• Chongwoo Sun, PHARMD
• Jenny Sun, D.D.S.
• Joseph L. Sun, M.D.

• Orthopaedic Surgery of the Spine Physician in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Orthopaedic Surgery of the Spine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 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.

Verify at the official NPI Registry.