NPIMap

Organization Active NPI

Sdcaz LLC

  • Pediatric Dentistry
  • Phoenix, AZ
National Provider Identifier
1659175347
Registry record updated Apr 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
SDCAZ LLC
Practice address
1819 W Dunlap Ave Ste 1
Phoenix, AZ 85021-4375
Phone
(602) 861-3333
NPI assigned
Apr 2, 2025
Organization subpart
Yes
Parent organization
SDCAZ LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 2, 2025

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

Authorized official

Name
Cassandra Wieth
Title
Director of Payor Relations
Phone
(623) 267-8121

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X
Pediatric DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0221X Primary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223X0400X

Addresses

Primary practice location

1819 W Dunlap Ave Ste 1
Phoenix, AZ 85021-4375

Mailing address

1819 W Dunlap Ave Ste 1
Phoenix, AZ 85021-4375
Phone (602) 861-3333

Other names 1

  • Cute Smiles 4 Kids Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Sdcaz LLC6 organizations share this tax ID, including this one
Part of
Sdcaz LLC

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1819 W Dunlap Ave
Ste 1
Phoenix, AZ 85021
Phone (602) 861-3333

Practitioners & affiliated clinicians

Practitioners 19

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

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1743552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743552000000",
    "number": "1659175347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1819 W DUNLAP AVE STE 1",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850214375",
            "telephone_number": "602-861-3333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1819 W DUNLAP AVE STE 1",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850214375",
            "telephone_number": "602-861-3333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SDCAZ LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SDCAZ LLC",
        "enumeration_date": "2025-04-02",
        "last_updated": "2025-04-02",
        "certification_date": "2025-04-02",
        "status": "A",
        "authorized_official_last_name": "WIETH",
        "authorized_official_first_name": "CASSANDRA",
        "authorized_official_title_or_position": "DIRECTOR OF PAYOR RELATIONS",
        "authorized_official_telephone_number": "623-267-8121"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cute Smiles 4 Kids",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 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.