NPIMap

Organization Active NPI

Sun West Dental Center III, LLC

Doing business as Sun West Dental Center

  • Dentist
  • Buckeye, AZ
National Provider Identifier
1669515300
Registry record updated Jun 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
D4013 Issued in AZ
Legal business name
SUN WEST DENTAL CENTER III, LLC
Doing business as
Sun West Dental Center
Sunwest Dental Buckeye
Practice address
407 N 4TH St
Buckeye, AZ 85326-2442
Phone
(623) 327-3206
Fax
(623) 327-0563
NPI assigned
Feb 14, 2007
Organization subpart
Yes
Parent organization
SUN WEST DENTAL CENTER III, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 22, 2021

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

Authorized official

Name
Tracey Dalton
Title
Credentialing Specialist
Phone
(623) 640-0267

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X D4013 AZ Primary

Addresses

Primary practice location

407 N 4TH St
Buckeye, AZ 85326-2442

Mailing address

407 N 4TH St
Buckeye, AZ 85326-2442
Phone (602) 354-5800

Other names 2

  • Sun West Dental Center Doing business as
  • Sunwest Dental Buckeye Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Sunwest Dental Center9 organizations share this tax ID, including this one
Part of
Sunwest Dental Center

Other organizations with this tax ID 8

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

Locations

407 N 4th St
Buckeye, AZ 85326
Phone (623) 327-3206

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1171411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624320000000",
    "number": "1669515300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "407 N 4TH ST",
            "city": "BUCKEYE",
            "state": "AZ",
            "postal_code": "853262442",
            "telephone_number": "602-354-5800",
            "fax_number": "602-354-5860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 N 4TH ST",
            "city": "BUCKEYE",
            "state": "AZ",
            "postal_code": "853262442",
            "telephone_number": "623-327-3206",
            "fax_number": "623-327-0563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUN WEST DENTAL CENTER III, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SUN WEST DENTAL CENTER III, LLC",
        "enumeration_date": "2007-02-14",
        "last_updated": "2021-06-22",
        "certification_date": "2021-06-22",
        "status": "A",
        "authorized_official_last_name": "DALTON",
        "authorized_official_first_name": "TRACEY",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "623-640-0267"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "AZ",
            "license": "D4013",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sun West Dental Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Sunwest Dental Buckeye",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Buckeye, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2021; 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.